Clinical Pediatrics: Open Access

Clinical Pediatrics: Open Access
Open Access

ISSN: 2572-0775

Iatrogenic diaphragmatic hernia in infants: Potentially catastrophic when overlooked


20th International Conference on Pediatrics & Primary Care

September 03-04, 2018 | Zurich, Switzerland

Edmund Kessler

Weill Cornell Medical Center, USA

Scientific Tracks Abstracts: Clin Pediatr OA

Abstract :

Acquired diaphragmatic hernias are a rare occurrence. They can result from blunt, penetrating or inadvertent iatrogenic injury. When overlooked they can potentially be catastrophic. We report a case of iatrogenic diaphragmatic hernia in a sixmonth old infant presenting with acute respiratory distress as a result of strangulated bowel herniating into the left hemithorax caused from a traumatic chest tube insertion in the neonatal period. To avoid potentially life-threatening complications associated with misplaced chest tubes such as viscus perforation in the future, one might consider using soft pleural catheters using the Seldinger technique, especially in pre-term neonates as well as a general awareness of complications associated with misplaced chest tubes. Recent Publications 1. Yousef El-Gohary, Edmund Kessler, et al. (2014) Iatrogenic diaphragmatic hernia in infants: Potentially catastrophic when overlooked. Elsevier, Journal of Pediatric Surgery 2:515-518. 2. Edmund Kessler, et al. (2007) Handlebar hernia: traumatic abdominal wall hernia with multiple enterotomies: a case report and review of the literature. Elsevier, Journal of Pediatric Surgery 42:567-569. 3. Nirupama Anne, Edmund Kessler, Ratna Kishore Pallapothu and Madhurima Anne (2005) Duplication cyst of the terminal ileum: A cause of abdominal pain in infants. Surgical Rounds. 28(9):428. 4. Rudloff U, Jobanputra S, Smith-Levitin, Michelle, Kessler E (2005) Meckelā??s diverticulum complicating pregnancy-Case report and review of the literature. Archives of Gynecology and Obstetrics 271(1):89-93. 5. Kessler E and Stein A (1976) Diaphragmatic Hernia as a Long Term Complication of Stab Wounds of the Chest. American Journal of Surgery 132(1):34-9.

Biography :

Edmund Kessler is an attending Pediatric Surgeon at a number of New York City hospitals and is an Associate Clinical Professor of Surgery at Weill Cornell Medical Center. His practice is limited to the surgery of infants, children and adolescents. He has completed his MBBCh in General and Pediatric Surgery training at the University of the Witwatersrand in Johannesburg, South Africa. He was a Visiting Fellow at the Hospital for Sick Children in London. He was a Lecturer in Anatomy and was a Consulting Surgeon and Senior Lecturer in Surgery at the University of the Witwatersrand. He is a Fellow of American College of Surgeons, Royal College of Surgeons (Edinburgh), South African College of Surgeons, International College of Surgeons. He is a Member of British Association of Pediatric Surgeons, South African Pediatric Surgical Association, American Pediatric Surgical Association, and a Surgical Affiliate Member of American Academy of Pediatrics.

E-mail: edk9001@med.cornell.edu

 

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