Abstract
Although it has been described that various anomalies are associated with Bochdalek hernia, few cases have been reported concerning infantile hypertrophic ryloric stenosis (PS) and/or esophageal hiatus hernia after the repair of Bochdalek hernia. The author treated such a case, as described below. A newborn baby suffering respiratory distress was diagnosed as having Bochdalek hernia. The left-side Bochdalek hernia with sac was repaired within the first 24 hours. Two days following the operation, vomiting occured. Contrast study revealed PS with gastroesophageal reflux. Laparotomy at 20 days after the diaphragmatic repair confirmed the presence of a moderate-sized pyloric hypertrophy, for which pyloromyotomy was performed. Subsequently the patient showed severe vomiting. Contrast study revealed severe gastroesophageal reflux due to esophageal hiatus hernia. At 128 days, antireflux procedure was performed using Dor-Nissen method. Now the patient is free of symptoms.
