Scaphoid Abdomen in Pediatrics — Case | General Pediatrics | SMLE Q#8766

SMLE Question #8766

Pediatrics General Pediatrics

Objective: OBJ-377

Last updated: February 2026
A term female neonate is delivered by emergency caesarean section after antenatal ultrasound suggested a left-sided congenital diaphragmatic hernia. At birth, she has cyanosis and severe respiratory distress with a scaphoid abdomen and is endotracheally intubated. In the NICU, she is hemodynamically stable on mechanical ventilation with decreased breath sounds on the left. After initial stabilization, what is the most appropriate immediate step in management?

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