Congenital diaphragmatic hernia

Case contributed by Dr Henry Knipe

Presentation

Neonate in respiratory distress.

Patient Data

Age: 0 days
Gender: Female
Modality: X-ray

Gastric bubble and colonic loops fill the left hemithorax. Extensive mediastinal shift to the right. Paucity of gas within the abdomen. 

Umbilical artery catheter at the level of T3. Nasogastric tube tip at the level of the hemidiaphragms. ETT superior to the carina. 

Case Discussion

The majority (~85%) of congenital diaphragmatic hernias are left-sided. Pulmonary hypoplasia is a common complication. 

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Case Information

rID: 41002
Case created: 10th Nov 2015
Last edited: 30th Aug 2016
Inclusion in quiz mode: Included

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