A floppy baby with elevated right hemidiaphragm and large stomach bubble on chest radiograph: what’s the diagnosis?

A preterm neonate of 36 weeks’ gestation was born via emergency lower segment caesarean section, requiring respiratory support soon after birth. She was hypotonic from birth and was found to have a large gastric bubble and a raised right hemidiaphragm on X-ray. She reached full feeds through a nasogastric tube on day 3 of life but later developed severe gastro-oesophageal reflux with pulmonary aspiration. What is the likely diagnosis?

Fatimah Aliyu
ST6 Paediatric Trainee, York Teaching Hospital, NHS Foundation Trust, f.aliyu@nhs.net

Udoka Asoh
ST7 Paediatric Trainee, Neonatal Unit, Hull University Teaching Hospitals NHS Trust, u.asoh@nhs.net

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Keywords

nasogastric (NG); tube; home; feeding; discharge; outreach

Also published in Infant:

VOLUME 15/ISSUE 4, JULY 2019

Phototherapy at home for the treatment of neonatal jaundice: a patient-centred pilot project

Phototherapy is a well-established procedure and the mainstay of treatment for significant neonatal jaundice. Usually, phototherapy is delivered in hospital, typically requiring a hospital stay of a few days. This article describes a pilot project to introduce phototherapy for the management of neonatal jaundice in clinically stable preterm and term infants with haemolytic disease of the newborn using a phototherapy blanket at home.