Congenital Diaphragmatic Hernia: Atypical Early X-Ray Presentation
Keywords:
Congenital Diaphragmatic Hernia, Bochdalek Hernia, Pulmonary Hypoplasia
Abstract
Congenital Diaphragmatic Hernia (CDH) is a congenital malformation of the diaphragm that allows herniation of the abdominal organs into the thoracic cavity. The most common type of CDH is Bochdalek Hernia. It is seen commonly on the left side than right, the right side being protected by the liver. CDH is a life threatening condition, most likely due to pulmonary hypoplasia. We report a left sided Bochdalek Hernia in a preterm female newborn delivered by Caesarian section.
Downloads
Download data is not yet available.
References
1. Langham MR, Kays DW, Ledbetter DJ, Frentzen B, Sanford LL, Richards DS. Congenital diaphragmatic Hernia: Epidemiology and outcome. Clin Perinatol 1996 23: 671– 88. [PubMed]
2. Clark RH, Hardin WD Jr, Hirschl RB, Jaksic T, Lally KP, Langham MR Jr, Wilson JM. Current surgical management of congenital diaphragmatic hernia: a report from the Congenital Diaphragmatic Hernia Study Group. J Pediatr Surg. 1998;33:1004–1009.
3. Lally KP, Lally PA, Lasky RE, Tibboel D, Jaksic T, Wilson JM, Frenckner B, Van Meurs KP, Bohn DJ, Davis CF, Hirschl RB. Defect size determines survival in infants with congenital diaphragmatic hernia. Pediatrics. 2007;7:e651–e657. [PubMed]
4. Zaiss I, Kehl S, Link K, Neff W, Schaible T, Sutterlin M, Siemer J. Associated Malformations in Congenital Diaphragmatic Hernia. Am J Perinatol. 2010 [PubMed]
5. McPherson EW, Ketterer DM, Salsburey DJ. Pallister-Killian and Fryns syndromes: nosology. Am J Med Genet. 1993;47:241–245. [PubMed]
6. Clugston RD, Zhang W, Alvarez S, De Lera AR, Greer JJ. Understanding Abnormal Retinoid Signaling as a Causative Mechanism in Congenital Diaphragmatic Hernia. Am J Respir Cell Mol Biol. May 15 2009 . [PubMed]
7. Keijzer R, Puri P. Congenital diaphragmatic hernia. Semin Pediatr Surg. 2010;19:180–185. [PubMed]
8. Stoll C, Alembik Y, Dott B, Roth MP. Associated malformations in cases with congenital diaphragmatic hernia.Genet Couns. 2008;19:331–339. [PubMed]
9. Numanoglu A, Steiner Z, Millar A, Cywes S. Delayed presentation of congenital diaphragmatic hernia. S Afr J Surg.1997;35:74–76. [PubMed]
10. Haugen SE, Linker D, Eik-Nes S, Kufaas T, Vik T, Eggen BM, Brubakk AM. Congenital diaphragmatic hernia: determination of the optimal time for operation by echocardiographic monitoring of the pulmonary arterial pressure. J Pediatr Surg. 1991;26:560–562. [PubMed]
11. Nakayama DK, Harrison MR, Chinn DH, Callen PW, Filly RA, Golbus MS, De Lorimier AA. Prenatal diagnosis and natural history of the fetus with a congenital diaphragmatic hernia: initial clinical experience. J Pediatr Surg. 1985;20:118–124 .
12. Takahashi H, Hayashi S, Miura Y, Tsukamoto K, Kosaki R, Itoh Y, Sago H. Trisomy 9 mosaicism diagnosed in utero.Obstet Gynecol Int. 2010 [PubMed]
13. Moya FR, Thomas VL, Romaguera J, Mysore MR, Maberry M, Bernard A, Freund M. Fetal lung maturation in congenital diaphragmatic hernia. Am J Obstet Gynecol.1995;173:1401–1405. [PubMed]
14. Stege G, Fenton A, Jaffray B. Nihilism in the 1990s: the true mortality of congenital diaphragmatic hernia. Pediatrics.2003;112:532–535 . [PubMed]
15. Vijfhuize S, Schaible T, Kraemer U, Cohen-Overbeek TE, Tibboel D, Reiss I. Management of pulmonary hypertension in neonates with congenital diaphragmatic hernia. Eur J Pediatr Surg. Oct 2012;22(5):374-83. [PubMed]
16. Van Meurs K. Is surfactant therapy beneficial in the treatment of the term newborn infant with congenital diaphragmatic hernia? J Pediatr. 2004;145:312–316. [PubMed]
17. Bartlett RH, Gazzaniga AB, Toomasian J, Coran AG, Roloff D, Rucker R. Extracorporeal membrane oxygenation (ECMO) in neonatal respiratory failure. 100 cases. Ann Surg.1986;204:236–245. [PubMed]
18. Keijzer R, van de Ven C, Vlot J, Sloots C, Madern G, Tibboel D, Bax K. Thoracoscopic repair in congenital diaphragmatic hernia: patching is safe and reduces the recurrence rate. J Pediatr Surg. 2010;45:953–957. [PubMed]
19. Sweed Y, Puri P. Congenital diaphragmatic hernia: influence of associated malformations on survival. Arch Dis Child. 1993;69:68–70.
2. Clark RH, Hardin WD Jr, Hirschl RB, Jaksic T, Lally KP, Langham MR Jr, Wilson JM. Current surgical management of congenital diaphragmatic hernia: a report from the Congenital Diaphragmatic Hernia Study Group. J Pediatr Surg. 1998;33:1004–1009.
3. Lally KP, Lally PA, Lasky RE, Tibboel D, Jaksic T, Wilson JM, Frenckner B, Van Meurs KP, Bohn DJ, Davis CF, Hirschl RB. Defect size determines survival in infants with congenital diaphragmatic hernia. Pediatrics. 2007;7:e651–e657. [PubMed]
4. Zaiss I, Kehl S, Link K, Neff W, Schaible T, Sutterlin M, Siemer J. Associated Malformations in Congenital Diaphragmatic Hernia. Am J Perinatol. 2010 [PubMed]
5. McPherson EW, Ketterer DM, Salsburey DJ. Pallister-Killian and Fryns syndromes: nosology. Am J Med Genet. 1993;47:241–245. [PubMed]
6. Clugston RD, Zhang W, Alvarez S, De Lera AR, Greer JJ. Understanding Abnormal Retinoid Signaling as a Causative Mechanism in Congenital Diaphragmatic Hernia. Am J Respir Cell Mol Biol. May 15 2009 . [PubMed]
7. Keijzer R, Puri P. Congenital diaphragmatic hernia. Semin Pediatr Surg. 2010;19:180–185. [PubMed]
8. Stoll C, Alembik Y, Dott B, Roth MP. Associated malformations in cases with congenital diaphragmatic hernia.Genet Couns. 2008;19:331–339. [PubMed]
9. Numanoglu A, Steiner Z, Millar A, Cywes S. Delayed presentation of congenital diaphragmatic hernia. S Afr J Surg.1997;35:74–76. [PubMed]
10. Haugen SE, Linker D, Eik-Nes S, Kufaas T, Vik T, Eggen BM, Brubakk AM. Congenital diaphragmatic hernia: determination of the optimal time for operation by echocardiographic monitoring of the pulmonary arterial pressure. J Pediatr Surg. 1991;26:560–562. [PubMed]
11. Nakayama DK, Harrison MR, Chinn DH, Callen PW, Filly RA, Golbus MS, De Lorimier AA. Prenatal diagnosis and natural history of the fetus with a congenital diaphragmatic hernia: initial clinical experience. J Pediatr Surg. 1985;20:118–124 .
12. Takahashi H, Hayashi S, Miura Y, Tsukamoto K, Kosaki R, Itoh Y, Sago H. Trisomy 9 mosaicism diagnosed in utero.Obstet Gynecol Int. 2010 [PubMed]
13. Moya FR, Thomas VL, Romaguera J, Mysore MR, Maberry M, Bernard A, Freund M. Fetal lung maturation in congenital diaphragmatic hernia. Am J Obstet Gynecol.1995;173:1401–1405. [PubMed]
14. Stege G, Fenton A, Jaffray B. Nihilism in the 1990s: the true mortality of congenital diaphragmatic hernia. Pediatrics.2003;112:532–535 . [PubMed]
15. Vijfhuize S, Schaible T, Kraemer U, Cohen-Overbeek TE, Tibboel D, Reiss I. Management of pulmonary hypertension in neonates with congenital diaphragmatic hernia. Eur J Pediatr Surg. Oct 2012;22(5):374-83. [PubMed]
16. Van Meurs K. Is surfactant therapy beneficial in the treatment of the term newborn infant with congenital diaphragmatic hernia? J Pediatr. 2004;145:312–316. [PubMed]
17. Bartlett RH, Gazzaniga AB, Toomasian J, Coran AG, Roloff D, Rucker R. Extracorporeal membrane oxygenation (ECMO) in neonatal respiratory failure. 100 cases. Ann Surg.1986;204:236–245. [PubMed]
18. Keijzer R, van de Ven C, Vlot J, Sloots C, Madern G, Tibboel D, Bax K. Thoracoscopic repair in congenital diaphragmatic hernia: patching is safe and reduces the recurrence rate. J Pediatr Surg. 2010;45:953–957. [PubMed]
19. Sweed Y, Puri P. Congenital diaphragmatic hernia: influence of associated malformations on survival. Arch Dis Child. 1993;69:68–70.
CITATION
DOI: 10.17511/ijmrr.2014.i04.23
Published: 2014-08-31
How to Cite
1.
A. Wasey W, Kumar Srivastava S. Congenital Diaphragmatic Hernia: Atypical Early X-Ray Presentation. Int J Med Res Rev [Internet]. 2014Aug.31 [cited 2024Dec.22];2(4):389-92. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/126
Section
Case Report
OAI - Open Archives Initiative
