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SM Journal of Pediatric Surgery

Self-Limiting Gastric Perforation after Diaphragmatic Hernia Repair: Iatrogenic or Pressure Necrosis?

[ ISSN : 2573-3419 ]

Abstract
Details

Received: 23-Jan-2019

Accepted: 06-Feb-2019

Published: 08-Feb-2019

Case Report | Volume 5 - Issue 1 | Article DOI :

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Basant Kumar¹*, Vijai Dutta Upadhyaya¹, Anita Singh², and Naranje Kirti M²

¹Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, India

²Department of Neonatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, India

Corresponding Author:

Basant Kumar, Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, India, Tel: 91-8004904839; Email(s):drbkpg75@ rediff.com (or) drbasant189@gmail.com

Keywords

Congenital diaphragmatic hernia; Abdominal compartment syndrome; Gastro-cutaneous fistula; Wound closure

Abstract

Neonates with large diaphragmatic defects and small abdominal cavity may require an abdominal wall patch or open wound care or only skin closure to prevent abdominal compartment syndrome. Various problems described in literature due to abdominal wound closure under tension. We present a unique, self-limiting complication in a neonate after repair of congenital diaphragmatic hernia. Difficult abdominal wall closure resulted in part of anterior gastric wall necrosis and perforation. Other thoughts for this complication were iatrogenic injury or necrotizing enterocolitis; discussed here.

Citation

Kumar B, Upadhyaya VD, Singh A and Kirti MN. Self-Limiting Gastric Perforation after Diaphragmatic Hernia Repair: Iatrogenic or Pressure Necrosis? SM J Pediatr Surg. 2019; 5(1): 1077