Abstract
Congenital DiaphragmaticHernia (CDH) occurs in 5-10% associated with chromosomal abnormalities like, Pallister Killian syndrome, Trisomy 18, and certain deletions. Association of CDH with trisomy 13 (Patau syndromes) is very rare. Here, we report such an unusual association, where surgical repair was done, but eventually the case succumbed as a result of multiple fatal co-morbidities.
Highlights
A 34 weeks male preterm weighing 1020 grams; an outcome of non-consanguineous marriage was delivered normally. He was born to a 35 years fourth gravida mother with one abortion in past, an old case of multi-drug resistant (MDR) tuberculosis
In view of respiratory distress and hypoxia he was shifted to Neonatal Intensive Care Unit (NICU) on oxygen
The baby developed shock with bleeding from multiple sites with thrombocytopenia which, promptly responded to inotropes and platelet transfusion and he was extubated to oxygen hood at 84 hrs
Summary
A 34 weeks male preterm weighing 1020 grams; an outcome of non-consanguineous marriage was delivered normally. The baby had right sided heart sounds with a basal systolic murmur. In view of respiratory distress and hypoxia he was shifted to Neonatal Intensive Care Unit (NICU) on oxygen. A requirement of maximum oxygen index (OI) of 12 was suggestive of favorable outcome. The surgery was done on the baby on the day.
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