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Congenital diaphragmatic hernia

Case contributed by Hani Makky Al Salam
Diagnosis certain

Presentation

Respiratory distress.

Patient Data

Age: 4 months
Gender: Male
x-ray

Multiple gas locules within the lower left chest, the majority of the rest of the left lung opacified. The left hemidiaphragm can not be seen. The mediastinum and the heart are deviated to the contralateral right side. 

ultrasound

The left kidney is seen next to the heart in the left hemithorax. 

The left lung is barely aerated with majority of which has been occupied by the loops of small and large bowel, stomach and left kidney. The heart and mediastinum are pushed away from the abnormality to the right side. 

Case Discussion

A 4 month old baby boy with congenital diaphragmatic hernia. An ectopic thoracic kidney is noted.

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