Congenital diaphragmatic hernia
Baby did not cry at birth.
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Chest X-ray (AP view) of 1 hour old newborn baby shows herniation of bowel contents into left thoracic cavity through diaphragm with displacement of left lung and mediastinum towards right and resultant right lung collapse.
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Congenital diaphragmatic hernias occurs in 1 of every 2000-3000 live births and account for up to 8% of all major congenital abnormalities.
There are 3 main types of congenital diaphragmatic hernia:
Left-sided Bochdalek hernias are most common, accounting for approximately 85% of cases. Left-sided hernias, lacking the 'protective' effect of the liver may have herniation of both the small and large bowel and intraabdominal solid organs into the thoracic cavity.
When right-sided, only the liver and a portion of the large bowel tend to herniate. Bilateral hernias are uncommon and are usually fatal due to pulmonary hypoplasia.