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Left congenital diaphragmatic hernia and gastroschisis in a term male infant
  1. Kevin C McGann1,
  2. Marjorie J Arca2,
  3. Marsha Pulhamus2 and
  4. Michael H Livingston2
  1. 1School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, New York, USA
  2. 2Division of Pediatric Surgery, University of Rochester Medical Center, Rochester, New York, USA
  1. Correspondence to Dr Michael H Livingston; michael_livingston{at}


A term male infant was born to a healthy 24-year-old mother with antenatally diagnosed liver-up, left congenital diaphragmatic hernia (CDH) and gastroschisis. The infant was stabilised in the neonatal intensive care unit and then underwent primary repair of the CDH via left subcostal incision and silo placement for the gastroschisis. Serial silo reductions were started postoperatively and umbilical flap closure for the gastroschisis was performed on day of life 6. The patient was weaned from respiratory support, started on enteral feeds, and discharged home at 1 month of age. He was weaned from supplemental nasogastric feeds by 6 weeks of age and is currently well and thriving at 11 months of age.

  • paediatric surgery
  • congenital disorders
  • neonatal intensive care

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  • Contributors KCM: primarily responsible for design of work, first draft and revisions. MHL: assisted with design of work, assisted with subsequent drafts and reviewing final version. MJA and MP: assisted with design of work, feedback regarding clinical details and management and reviewing final version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.