Congenital daphragmatic hernia

Case contributed by Dr Yusra Sheikh

Presentation

Pectus excavatum and increased work of breathing.

Patient Data

Age: 11 weeks
Gender: Female
X-ray

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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Case information

rID: 68788
Published: 13th Jun 2019
Last edited: 19th Jun 2019
Inclusion in quiz mode: Included

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