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Daphney Clermont, Janice A. Taylor 

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Presentation on theme: "Daphney Clermont, Janice A. Taylor "— Presentation transcript:

1 Bilious emesis as presenting symptom of congenital diaphragmatic hernia in an 8- month-old 
Daphney Clermont, Janice A. Taylor  Journal of Pediatric Surgery Case Reports  Volume 27, Pages (December 2017) DOI: /j.epsc Copyright © 2017 The Authors Terms and Conditions

2 Fig. 1 Initial supine babygram showed extension of bowel gas pattern into left hemithorax. Journal of Pediatric Surgery Case Reports  , 12-15DOI: ( /j.epsc ) Copyright © 2017 The Authors Terms and Conditions

3 Fig. 2 Lateral chest radiograph obtained as follow-up to supine babygram further exhibits bowel projection into left hemi-thorax. Journal of Pediatric Surgery Case Reports  , 12-15DOI: ( /j.epsc ) Copyright © 2017 The Authors Terms and Conditions

4 Fig. 3 CT scan lung window illustrating herniated bowel (arrow) into left hemithorax. Journal of Pediatric Surgery Case Reports  , 12-15DOI: ( /j.epsc ) Copyright © 2017 The Authors Terms and Conditions

5 Fig. 4 Peri-operative image of patient showing scaphoid abdomen.
Journal of Pediatric Surgery Case Reports  , 12-15DOI: ( /j.epsc ) Copyright © 2017 The Authors Terms and Conditions

6 Fig. 5 Laparoscopic reduction of bowel (arrow) from left-sided posterior-lateral diaphragm defect. Journal of Pediatric Surgery Case Reports  , 12-15DOI: ( /j.epsc ) Copyright © 2017 The Authors Terms and Conditions

7 Fig. 6 Complete reduction of intestinal contents revealed a small defect measuring 2.5 cm × 1 cm in dimension, amenable to primary repair. Journal of Pediatric Surgery Case Reports  , 12-15DOI: ( /j.epsc ) Copyright © 2017 The Authors Terms and Conditions

8 Fig. 7 Completed primary closure of diaphragm defect.
Journal of Pediatric Surgery Case Reports  , 12-15DOI: ( /j.epsc ) Copyright © 2017 The Authors Terms and Conditions

9 Fig. 8 Post-operative chest x-ray showing intact repair and absence of bowel in left hemi-thorax. Journal of Pediatric Surgery Case Reports  , 12-15DOI: ( /j.epsc ) Copyright © 2017 The Authors Terms and Conditions


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