This paper is only available as a PDF. To read, Please Download here.
The mortality from diaphragmatic hernia remains high; at times the exact mode of death has not been readily apparent from the clinical course or the autopsy findings.
Fifteen out of 17 cases of diaphragmatic hernia who came to autopsy after operation at this hospital were found to have extensive adrenal hemorrhage. It is suggested that the adrenal damage may have caused enough insufficiency to contribute to these deaths; we consider this sufficient evidence to advocate great care while working in the region of the adrenal glands in the newborn child, and to consider the possibility of a relative adrenal insufficiency in the infant whose postoperative progress following repair of a diaphragmatic hernia is poor.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Congenital diaphragmatic hernia in children under one year of age: A 24 year review.J. Pediat. Surg. 1966; 1: 157
- Congenital diaphragmatic hernia as a cause of perinatal mortality.Lancet. 1962; 1: 659
- Hormones in blood. Vol. 2. Academic Press, Inc, London and New York1967 ed. 3.
- Adrenal hemorrhage and necrosis resulting from abdominal operations.Lancet. 1969; 1: 600
- Diurnal variation of plasma 17-hydroxycorticosteroids in children.J. Clin. Endocrinol. Metab. 1967; 27: 75
- A comparative study of the vascularization of the adrenal gland in the rabbit, rat, and cat.J. Anat. 1951; 85: 12
- Plasma cortisone and cortisol levels at birth and during the neonatal period.J. Clin. Endocrinol. Metab. 1965; 25: 243
- Diaphragmatic hernia in infancy: Factors affecting the mortality rate.Surgery. 1967; 62: 1082
- Congenital posterolateral diaphragmatic hernia in the newborn.J. Thorac. Cardiovasc. Surg. 1968; 55: 55
- Neonatal surgery.Butterworth & Co., Ltd, London1969
- Congenital diaphragmatic hernia: 77 consecutive cases.Surgery. 1965; 57: 576
- Prolonged postoperative hypercapnia in congenital diaphragmatic hernia.J. Pediat. Surg. 1969; 4: 313
- Hernias of the foramen of Bochdalek in children.in: ed. 3. Mayo Clin. Proc. 43. 1968: 580
- Diaphragmatic hernia in infancy.in: Wilkinson A.W. Advances in pediatric surgery. Grune & Stratton, Inc, New York1969
Accepted: June 1, 1970
© 1971 Published by Elsevier Inc.