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Tuesday, January 29, 2013

"Doctors fix hole in diaphragm, save 3-year-old Australian girl"

MUMBAI: Three-year-old Myra D'souza, a resident of Australia, was excited to come to India for Christmas. Following the Christmas dinner with her extended family, Myra started complaining of abdomen pain. She soon started vomiting too.
Her family took her to SevenHills Hospital in Andheri, where doctors found that she was suffering from diaphragmatic hernia - a birth defect in which there is an abnormal opening in the diaphragm. This opening allows part of the organs from the belly (stomach, spleen, liver, and intestines) to shift into the chest cavity near the lungs.
"During the course of clinical examination, we found that her heart beats were a little to the right of her chest," said Dr Uday Nadkarni, pediatric intensivist at SevenHills Hospital. "An X-ray showed that her heart was on the right side of the body, and there was a football-size gap on the left. Also, her left lung was not functioning well. A CT scan found a hole in her diaphragm."
Myra's parents were befuddled as she had always been a healthy child. "She never had a major health problem. So, it was quite a shock for us to find out that she had been suffering from this problem since birth," said Sherley, Myra's mother.
The doctors also found that part of Myra's stomach had shifted in the cavity in the diaphragm and had twisted, forming an hourglass-like shape. It became imperative to carry out an an emergency surgery.
"When we opened her abdomen, we found that there was a blood clot, apart from a large area filled with air. We removed the clot and untwisted the stomach. Parts of her stomach and intestine, which had shifted, were put back in place and the hole in the diaphragm sutured," said Dr Nadkarni, adding that had the surgery not been done on time, Myra would have developed gangrenous abdomen, which could have been fatal.
Myra, though still a little weak, is now doing fine. "She can now eat and has not had any major problems after the surgery in December. We will fly back to Australia in the next two weeks," said Sherley.

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