Infant Journal
Browse articlesA 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 AliyuST6 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
gastroschisis; abdominal wall defect; congenital abnormality; surgery; silo
Key points
- The survival of gastroschisis in high income countries is now greater than 95%.
- Complex gastroschisis has worse outcomes than simple gastroschisis.
- Surgical management aims to reduce the herniated viscera and close the abdominal wall defect. This can be achieved by primary closure or staged reduction.
