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Asymmetric thymic hyperplasia following repair of congenital diaphragmatic hernia
  1. Shelby Sferra1,
  2. Melanie Nies2,
  3. Shaun Kunisaki1,
  4. Peter Mogayzel3
  1. 1Division of General Pediatric Surgery, Department of Surgery, Johns Hopkins University, Baltimore, Maryland, USA
  2. 2Division of Pediatric Cardiology, Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland, USA
  3. 3Eudowood Division of Pediatric Respiratory Sciences, Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland, USA
  1. Correspondence to Dr Shelby Sferra, Division of General Pediatric Surgery, Department of Surgery, Johns Hopkins University, Baltimore, MD 21287, USA; ssferra1{at}jh.edu

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Case presentation

The patient was a full-term male infant who underwent a transabdominal patch repair of a prenatally diagnosed congenital diaphragmatic hernia (CDH) on day of life 2 (figure 1). He was discharged home on day 45, requiring nasal cannula and an echocardiogram consistent with pulmonary artery stenosis. On outpatient follow-up, his respiratory symptoms resolved by day 61, and his supplemental oxygen support was discontinued. Subsequent chest X-rays were notable for a dense opacity, concerning for …

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Footnotes

  • Contributors Study conception and design, data acquisition, analysis, data interpretation and critical revision: SS, MN, SK, and PM.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.