title: Endobronchial migration of prosthetic patch after congenital diaphragmatic hernia repair.
abstract: Surgical repair of congenital diaphragmatic hernia (CDH) can be performed by means of either direct suturing of the diaphragm or positioning of a prosthetic patch. However, half of all prosthetic patches show evidence of reherniation. We describe the case of an 8-year-old girl who presented with prosthesis dislocation and fistulization in the right lower bronchus as a complication of a CDH repair that she underwent when she was 1 year old. Abdominal ultrasound and magnetic resonance imaging suggested a hernia relapse, whereas chest computed tomographic scan failed to identify the diaphragmatic defect. Only fibrobronchoscopy allowed fistulization of the prosthesis into the bronchi to be correctly diagnosed.
authors.affiliation: Department of Thoracic Surgery, Scientific Institute and University Vita-Salute, San Raffaele, 20132 Milan, Italy.
authors.forename: Lidia
authors.initials: L
authors.lastname: Libretti
authors.forename: Paola
authors.initials: P
authors.lastname: Ciriaco
authors.forename: A
authors.initials: A
authors.lastname: Carretta
authors.forename: Giulio
authors.initials: G
authors.lastname: Melloni
authors.forename: Armando
authors.initials: A
authors.lastname: Puglisi
authors.forename: Monica
authors.initials: M
authors.lastname: Casiraghi
authors.forename: Piero
authors.initials: P
authors.lastname: Zannini
mesh_terms: D001999:Bronchoscopy; D002648:Child; D005260:Female; D005548:Foreign-Body Migration / Q000601:surgery*; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D008168:Lung / Q000473:pathology*; D011475:Prosthesis Failure; D013526:Surgical Mesh; D013908:Thoracotomy