Fetal endoscopic tracheal occlusion (FETO) is frequently used in the antenatal management of congenital diaphragmatic hernia (CDH).1 This involves occluding the trachea with an external clip or an endoluminal balloon which is postulated to hold back the fluid secreted intraluminally by the airway, induce stretch and thus stimulate lung growth and maturation. A 3.5-year-old girl was referred for recurrent chest infections. She had a history of left-sided CDH identified antenatally on an ultrasound scan at 20 weeks gestation. A percutaneous FETO procedure was done at 21 weeks. Following premature rupture of membranes at 30 weeks, the occlusion plug was removed, and she was born at 35 weeks gestation. Definitive surgery was performed on day 5.
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