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. 2012 Apr;2(2):18-26.

Cοngenital diaphragmatic hernia in dakar, senegal

O Ndour  1 , A Faye  1 , Na Ndoye  1 , Dramé A  1 , F Gassama  1 , Pa Mbaye  1 , G Ngom  1 , M Ndoye  1
Affiliations

Cοngenital diaphragmatic hernia in dakar, senegal

O Ndour et al. J West Afr Coll Surg. 2012 Apr.

Abstract

Background: Congential diaphragmatic herniae pose serious challenges in their management in this environment.Aim & Objective: To determine the pattern, as well as the diagnostic and management challenges of congenital diaphragmatic hernia in Dakar, Senegal.

Patients and methods: This is a retrospective review of 14 children with congenital diaphragmatic hernia (CDH) managed within eleven years in Dakar, Senegal.

Results: There were nine boys and five girls with the age range of one day to 22 months and a mean of 5 months. Respiratory signs (respiratory distress, cough, current pulmonary infection) were found in 13 patients and gastrointestinal symptoms (vomiting, Difficulty sucking, anorexia) in 6 patients. The thoracic-abdominal radiography was performed in all patients and revealed a Bochdalek hernia on the left in 10(71%) cases and 4(29%) were Morgagni hernia. Treatment was by repair of the diaphragmatic defect with non-absorbable sutures. The postoperative course was uneventful in 13 children while one patient died on the first postoperative day one.

Conclusion: Congenital diaphragmatic hernia presents mainly with postnatal respiratory features in this setting. Thoracic-abdominal radiography allows for early diagnosis, prompt and effective treatment with good outcome.

Keywords: Congenital diaphragmatic hernia, Respiratory insufficiency, Radiological features, Good surgical outcome.

Keywords: Congenital diaphragmatic hernia; Good surgical outcome; Radiological features; Respiratory insufficiency.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1
Thoraco-abdominal x-rays showing a left diaphragmatic hernia/ Radiographies thoraco-abdominales montrant une hernie diaphragmatique gauche
Fig 2
Fig 2
Barium swallow showing diaphragmatic hernia/ Le transit baryté montrant une hernie diaphragmatique
Fig 3
Fig 3
Preoperative image showing the herniated stomach and intestines/ Image per opératoire montrant l'estomac et des intestins herniés
See this image and copyright information in PMC

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