A subset of omphalocele infants has respiratory decompensation after the first week of life and PHN is diagnosed. Infection may initiate decompensation. In some, PHN is distinct from pulmonary hypoplasia as they oxygenate on room air for some time after birth. With aggressive treatment and follow-up, PHN can resolve. The late diagnosis of PHN in infants with omphalocele is previously unappreciated and deserves further study.
Journal of Pediatric Surgery Case Reports
Hernia, Umbilical; Hypertension, Pulmonary; Sepsis; Respiratory Insufficiency; Infant
Baerg JE, Thirumoorthi A, Carlton W, et al. Late onset of pulmonary hypertension and sepsis in omphalocele infants. Journal of Pediatric Surgery Case Reports. 2016;15:14-18. doi:10.1016/j.epsc.2016.09.011