{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:40:01Z","timestamp":1756374001358,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,6,16]]},"abstract":"<jats:p>We report a case of a male, term newborn with known left congenital diaphragmatic hernia (CDH) who presented with circulatory compromise requiring maximal inotropic support in the first 24\u2009hours of life. Repeat X-ray at 24\u2009hours showed pneumatosis intestinalis. Emergency laparotomy was performed for suspected necrotising enterocolitis. The terminal ileum to the sigmoid colon were frankly necrotic with multiple perforations. Subtotal colectomy was performed. Although the recovery was protracted, the baby had a favourable outcome with progressive weight gain on follow-up at 3, 6 and 9 months of age.<\/jats:p>\n               <jats:p>This case of CDH had a postnatal systemic instability that was more severe than predicted, and as well as assessing for persistent pulmonary hypertension of newborn should trigger immediate suspicion for other organ involvement.<\/jats:p>","DOI":"10.1136\/bcr-2018-224854","type":"journal-article","created":{"date-parts":[[2018,6,28]],"date-time":"2018-06-28T10:04:56Z","timestamp":1530180296000},"page":"bcr-2018-224854","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Early onset necrotising enterocolitis in association with congenital diaphragmatic hernia in a term baby"],"prefix":"10.1136","volume":"2018","author":[{"given":"Yu Han","family":"Koh","sequence":"first","affiliation":[{"name":"Adelaide Medical School, The University of Adelaide, Adelaide, South Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Cooksey","sequence":"additional","affiliation":[{"name":"Paediatric Surgical Unit, Women\u2019s and Children\u2019s Hospital Adelaide, North Adelaide, South Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Prager","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Women\u2019s and Children\u2019s Hospital Adelaide, North Adelaide, South Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,6,28]]},"reference":[{"key":"2025082802220484000_2018.jun28_1.bcr-2018-224854.1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306174"},{"key":"2025082802220484000_2018.jun28_1.bcr-2018-224854.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(03)00187-8"},{"key":"2025082802220484000_2018.jun28_1.bcr-2018-224854.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(96)90338-3"},{"key":"2025082802220484000_2018.jun28_1.bcr-2018-224854.4","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.epsc.2015.02.008","article-title":"Necrotizing enterocolitis following the surgical repair of a left congenital diaphragmatic hernia","volume":"3","author":"Blaise","year":"2015","journal-title":"J Pediatr Surg Case Rep"},{"key":"2025082802220484000_2018.jun28_1.bcr-2018-224854.5","doi-asserted-by":"crossref","first-page":"43042","DOI":"10.1038\/srep43042","article-title":"Differences in the Clinical Characteristics of Early- and Late-Onset Necrotizing Enterocolitis in Full-Term Infants: A Retrospective Case-Control Study","volume":"7","author":"Li","year":"2017","journal-title":"Sci Rep"},{"key":"2025082802220484000_2018.jun28_1.bcr-2018-224854.6","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1055\/s-0032-1329531","article-title":"Management of pulmonary hypertension in neonates with congenital diaphragmatic hernia","volume":"22","author":"Vijfhuize","year":"2012","journal-title":"Eur J Pediatr Surg"},{"key":"2025082802220484000_2018.jun28_1.bcr-2018-224854.7","doi-asserted-by":"publisher","DOI":"10.1148\/rg.272055098"},{"key":"2025082802220484000_2018.jun28_1.bcr-2018-224854.8","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/s40748-017-0045-1","article-title":"Congenital Diaphragmatic hernia - a review","volume":"3","author":"Chandrasekharan","year":"2017","journal-title":"Matern Health Neonatol Perinatol"},{"key":"2025082802220484000_2018.jun28_1.bcr-2018-224854.9","doi-asserted-by":"publisher","DOI":"10.1159\/000320244"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-224854","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:22:13Z","timestamp":1756372933000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-224854"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,28]]},"references-count":9,"alternative-id":["10.1136\/bcr-2018-224854"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-224854","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,6,28]]}}}