Zahid Anas, Nawaz Faisal A, Duvuru Ruthwik, Alabrach Yousef S, Ahmed Aftab
Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, ARE.
Medicine, Sheikh Khalifa Medical City, Abu Dhabi, ARE.
Cureus. 2022 Jul 11;14(7):e26732. doi: 10.7759/cureus.26732. eCollection 2022 Jul.
Congenital diaphragmatic hernia (CDH) is a severe congenital anomaly that leads to herniation of abdominal viscera to the chest, which presents with respiratory distress shortly after birth. Spleen herniation is a rare finding, and kidney herniation is even more exceedingly rare. We hereby report a case of a neonate that developed severe respiratory distress secondary to CDH. After confirming the diagnosis with chest and abdominal X-ray and initial stabilization, the patient underwent laparotomy, which revealed a large diaphragmatic defect with herniation of the ileum, colon, spleen, and left kidney. Contents were reduced to the abdomen, and the defect was repaired. The patient had a complete recovery with no complications. After reviewing the literature, we noticed the paucity of data in the Middle East region regarding the disease burden and the increased rate of complications with delayed diagnosis. Therefore, we believe that this case, which was presented in the United Arab Emirates with kidney and spleen herniation and received prompt management, is a valuable addition to the literature.
先天性膈疝（CDH）是一种严重的先天性畸形，可导致腹腔脏器疝入胸腔，患儿出生后不久即出现呼吸窘迫。脾脏疝入是一种罕见的表现，而肾脏疝入则更为罕见。我们在此报告一例因CDH继发严重呼吸窘迫的新生儿病例。通过胸部和腹部X线确诊并初步稳定病情后，患者接受了剖腹手术，术中发现一个巨大的膈肌缺损，伴有回肠、结肠、脾脏和左肾疝入。将疝内容物还纳至腹腔，并修复了缺损。患者完全康复，无并发症。在查阅文献后，我们注意到中东地区关于该病负担以及延迟诊断导致并发症发生率增加的数据匮乏。因此，我们认为这例在阿拉伯联合酋长国出现的伴有肾脏和脾脏疝入且得到及时治疗的病例，是对文献有价值的补充。
