Abstract

Twenty cases of bilateral posterolateral congenital diaphragmatic hernia have been reported to date. Four of these patients have survived. We present a case in which an infant was readmitted, aged 8 weeks, following an initial primary repair and underwent successful surgical correction of a contralateral diaphragmatic defect. Ultrasound examination of the contralateral hemidiaphragm is suggested as a useful modality during initial assessment. In doubtful cases, where ultrasound has given equivocal information, peroperative examination of the contralateral hemidiaphragm is recommended. Failure to appreciate the existence of this rare condition may lead to inappropriate clinical management.

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