Congenital diaphragmatic hernia

Case contributed by Dr Henry Knipe

Presentation

Sepsis.

Patient Data

Age: 10 days
Gender: Male
X-ray

Appearances of congenital diaphragmatic hernia with the tip of the NGT is projected over the lower left chest in keeping with herniation of the stomach. Paucity of gas in the abdomen.

Hypoplastic left lung. Left apical capping reflecting pleural fluid. Marked body wall edema.

Case Discussion

Congenital diaphragmatic hernias are relatively common, occurring in 1 in ~3000 births. Pulmonary hypoplasia of the ipsilateral lung is a common complication. 

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