Endobronchial migration of prosthetic patch after congenital diaphragmatic hernia repair

J Pediatr Surg. 2006 Jan;41(1):e65-7. doi: 10.1016/j.jpedsurg.2005.10.075.

Abstract

Surgical repair of congenital diaphragmatic hernia (CDH) can be performed by means of either direct suturing of the diaphragm or positioning of a prosthetic patch. However, half of all prosthetic patches show evidence of reherniation. We describe the case of an 8-year-old girl who presented with prosthesis dislocation and fistulization in the right lower bronchus as a complication of a CDH repair that she underwent when she was 1 year old. Abdominal ultrasound and magnetic resonance imaging suggested a hernia relapse, whereas chest computed tomographic scan failed to identify the diaphragmatic defect. Only fibrobronchoscopy allowed fistulization of the prosthesis into the bronchi to be correctly diagnosed.

Publication types

  • Case Reports

MeSH terms

  • Bronchoscopy
  • Child
  • Female
  • Foreign-Body Migration / surgery*
  • Hernia, Diaphragmatic / surgery*
  • Hernias, Diaphragmatic, Congenital*
  • Humans
  • Lung / pathology*
  • Prosthesis Failure*
  • Surgical Mesh
  • Thoracotomy