Case Report – Anaesthetic Management of late onset of congenital diaphragmatic hernia repair of an elderly female.

Dr. Vineet Mishra; Dr. Sanjay P. Gadre; Dr. Sushil Bhadane; Dr. Manoj C. Kolhe

Volume : VII, Issue : IX, September - 2017

Case Report – Anaesthetic Management of late onset of congenital diaphragmatic hernia repair of an elderly female.

Dr. Vineet Mishra, Dr. Sanjay P. Gadre, Dr. Sushil Bhadane, Dr. Manoj C. Kolhe

Abstract :

Adult onset congenital diaphragmatic hernia (CDH) is uncommon but not rare. The defect tends to be small and patients may remain asymptomatic and diagnosed incidentally. When these patients become symptomatic, they usually present with gastrointestinal and cardiorespiratory symptoms or sometimes as an emergency due to obstruction or strangulation of herniated viscera. Chest radiograph, computed tomography scan, and magnetic resonance imaging are the imaging modalities used for diagnosis of CDH. Cardiopulmonary compromise due to mass effect of hernial contents on lungs, heart and great vessels, and obstruction or strangulation of herniated viscera poses the special challenge before anesthesiologists. Our patient was diagnosed to have diaphragmatic hernia, at the age of 50 years and underwent laparotomy for the same. This case highlights the key feature of the successful anesthetic management of adult onset CDH.