a rare association of congenital diaphragmatic hernia with lower esophageal atresia and perforation较低的一种罕见的先天性膈疝协会食管闭锁和穿孔.pdfVIP

Hindawi Publishing Corporation International Journal of Pediatrics Volume 2010, Article ID 738546, 2 pages doi:10.1155/2010/738546 Case Report A Rare Association of Congenital Diaphragmatic Hernia with Lower Esophageal Atresia and Perforation Narendra Kumar Are, K. Nagarjuna, and Lavanya Kannaiyan Department of Paediatric Surgery, Niloufer Hospital for Women and Children, Osmania Medical College, Hyderabad 500 017, India Correspondence should be addressed to Narendra Kumar Are, naren are@ Received 20 May 2010; Accepted 15 June 2010 Academic Editor: Frans J. Walther Copyright © 2010 Narendra Kumar Are et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Congenital diaphragmatic hernia is known to be associated with esophageal atresia, which is a rare association. We report a rare occurrence of congenital diaphragmatic hernia and lower esophageal atresia. 1. Introduction The surgical correction included repair of CDH and esophagogastric anastomosis with a feeding jejunostomy. Abnormalities of the esophagus such as gastroesophageal The postoperative course was uneventful. Jejunostomy feeds reflux disease (GERD), esophageal motility disorders, eso- were started on the 4th postoperative day. Contrast esopha- phageal duplications cysts, and tracheoesophageal fistula gogram was done on the 10th postoperative day. It showed with esophageal atresia are rare but documented occurrences free flow of dye into the stomach. At discharge, the child was with co