Presentation
Pectus excavatum and increased work of breathing.
Patient Data
Age: 11 weeks
Gender: Female
From the case:
Congenital daphragmatic hernia
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There are multiple gas filled bowel loops in the anterior left hemithorax, consistent with a morgagni type of diaphragmatic hernia with resultant mediastinal shift to the right. The partially visualized superior left lung is clear. The right lung is clear. In addition, there is a pectus excavatum, best appreciated on the lateral view.
Case Discussion
This was a postnatal diagnosis of a congenital diaphragmatic hernia. There was no history of antenatal ultrasound examinations, which would likely have picked the anomaly in utero.
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