Fibrous fusion between the liver and the lung: an unusual complication of right congenital diaphragmatic hernia.
A congenital right diaphragmatic hernia was diagnosed in a full-term newborn who presented with respiratory distress at the age of 10 hours. The patient required respiratory support, and was operated on at age 6 days. During surgery, a central defect of the diaphragm was found. The herniated liver was only partially reducible because of intrathoracic adhesions. The patient died at 10 days of age as a result of persistent fetal circulation. Postmortem pathological examination demonstrated a central diaphragmatic defect and a nonseparable fibrous fusion between the liver and the lung.
Katz
S
S
Department of Pediatric Surgery, Sapir Medical Center, Meir General Hospital, Kfar Saba, Israel.
Kidron
D
D
Litmanovitz
I
I
Erez
I
I
Dolfin
Z
Z
D017809:Fatal Outcome; D005260:Female; D006548:Hernia, Diaphragmatic / Q000601:surgery; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007231:Infant, Newborn; D007431:Intraoperative Complications; D008107:Liver Diseases / Q000151:congenital* / Q000473:pathology / Q000601:surgery; D008171:Lung Diseases / Q000151:congenital* / Q000473:pathology / Q000601:surgery; D000267:Tissue Adhesions / Q000151:congenital / Q000473:pathology