A Case Report on Right-Sided Congenital Diaphragmatic Hernia

1Department of Pharmacy Practice, KL College of Pharmacy, Koneru Lakshmaiah Education Foundation, Vaddesswaram, Guntur, Andhra Pradesh, INDIA

2Centralized Monitoring of Roche FSP, IQVIA RDS (India) Pvt. Ltd., Bengaluru, Karnataka, INDIA

3Department of Pharmacy Practice, Vishwa Bharathi College of Pharmaceutical Sciences, Guntur, Andhra Pradesh, INDIA

4Department of Pharmacy Practice, Krupanidhi College of Pharmacy, Bengaluru, Karnataka, INDIA

5Department of Pharmaceutical Chemistry, KL College of Pharmacy, Koneru Lakshmaiah Education Foundation, Vaddesswaram, Guntur, Andhra Pradesh, INDIA

Corresponding author.

Correspondence: Dr. Supriya Rayana, Pharm. D Department of Pharmacy Practice, KL College of Pharmacy, Koneru Lakshmaiah Education Foundation, Vaddesswaram, Guntur-522502, Andhra Pradesh, INDIA. Email: nandhanasupriya@gmail.com
Received February 07, 2023; Revised March 02, 2023; Accepted April 07, 2023.
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Citation

1.Rayana S, Yarraguntla K, Chigurupati D, Kamba BM, Haritha G. A Case Report on Right-Sided Congenital Diaphragmatic Hernia. Journal of Young Pharmacists [Internet]. 2023 Aug 25;15(3):575–7. Available from: http://dx.doi.org/10.5530/jyp.2023.15.79
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Published in: Journal of Young Pharmacists, 2023; 15(3): 575-577. Published online: 22 August 2023DOI: 10.5530/jyp.2023.15.79

ABSTRACT

Background: Congenital Diaphragmatic Hernia (CDH) is a diaphragm abnormality it permits stomach contents to protrude into the thoracic cavity, posing a substantial risk for pulmonary and cardiac problems in newborns. The pathophysiology of congenital diaphragmatic hernia is a combination of lung hypoplasia and immaturity associated with Persistent Pulmonary Hypertension (PPHN) in newborns and cardiac dysfunction. Case Presentation: A 1-year-old male patient was admitted to the hospital with chief complaints of excessive crying, breathlessness, and fever for one month. On examination, we observed decreased air entry on the right side in the inframammary area, and no air entry in the infra-axillary area. The Ultrasonography (USG) of the chest showed bowel loops along with mesentery. Surgical correction is required for a diaphragmatic hernia. Right thoracotomy, laparotomy, and repair of hernia were done Conclusion: The Prior diagnosis during the pre-natal period induces a better prognosis.

Keywords: Herniation, Pulmonary hypertension, Bowel loops, Right thoracotomy, Lung hypoplasia