Journal of Pediatric Surgery
Volume 44, Issue 8 , Pages 1653-1655, August 2009

A case report of a congenital left subcostal hernia in a neonate

Department of Surgery, Children's Hospital Boston, Harvard Medical School, Boston, MA 02115, USA

Received 10 March 2009; received in revised form 15 April 2009; accepted 15 April 2009.

Abstract 

We present an unusual case of a congenital left subcostal hernia in a female born at 39 weeks by caesarean delivery to a 39 year-old gravida2para1-2abortus0 mother. The pregnancy was complicated by gestational diabetes, although she had normal prenatal imaging. After an uneventful caesarean delivery, the patient's initial physical examination was normal although subsequently was found to have a left subcostal hernia. During surgical evaluation, a reducible hernia was found along with left renal agenesis and no underlying masses. At 4 weeks of age, the patient's hernia was successfully repaired with no sequela. We present the first reported case of a congenital subcostal hernia, evaluation, and treatment.

Key words: Congenital subcostal hernia, Renal agenesis, Neonate, Neonatal abnormalities, Infertility, Gestational diabetes

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PII: S0022-3468(09)00372-8

doi:10.1016/j.jpedsurg.2009.04.025

Journal of Pediatric Surgery
Volume 44, Issue 8 , Pages 1653-1655, August 2009