Diaphragmatic Hernia 3 C1857781
A birth defect where the diaphragm fails to close properly, allowing abdominal organs into the chest. It affects newborns and requires surgical repair soon after birth.
Key facts at a glance
- ICD-10
- Q84.9
- ICD-11
- LA00.0
- Body system
- congenital
- Severity
- critical
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Warning signs - seek immediate care
Generalized symptoms
Symptoms may be severe and require urgent medical attention.
Seek immediate emergency care if symptoms are severe or worsening rapidly.
Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Emergency Thoracolaparotomy Approach
Combined abdominal and thoracic approach provides necessary exposure for reduction of massive herniation, often involving stomach, colon, and small bowel. Component separation techniques may be required to achieve closure without excessive tension.
Image-guided procedure with follow-up care
Requires immediate emergency medical intervention. Do not delay treatment.
Mesh-Reinforced Diaphragmatic Repair
Large defects require synthetic or biologic mesh reinforcement to achieve durable closure. Mesh selection (synthetic vs biologic) depends on contamination risk, patient comorbidities, and surgeon preference.
Additional treatment options
Mechanical Ventilation Support
Preoperative optimization often requires intubation and mechanical ventilation due to compromised pulmonary mechanics from mass effect. Paralysis and controlled ventilation may be necessary to facilitate oxygenation.
procedureCritical Care Monitoring
Intensive monitoring includes invasive hemodynamic monitoring, hourly urine output, serial chest imaging, and frequent cardiopulmonary assessment. Early intervention for complications improves outcomes in these high-risk patients.
monitoringPreoperative Pulmonary Rehabilitation
Targeted respiratory therapy including incentive spirometry, deep breathing exercises, and secretion clearance techniques optimize pulmonary function before surgery. Improves postoperative outcomes by reducing atelectasis and pneumonia risk.
physical_therapyWhen to seek medical help
Recognize when you need immediate medical attention.
Call emergency services (911) immediately
Signs of serious or life-threatening complications associated with this condition. Immediate medical evaluation is required.
Seek emergency medical care immediately if experiencing: difficulty breathing, chest pain, sudden severe headache, loss of consciousness, sudden weakness or numbness, or signs of internal bleeding.
Frequently asked questions
Common questions about this topic.
What is Diaphragmatic Hernia 3 C1857781?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
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View Medication ComparisonsThis information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy