Presentation
One day history of vomiting, followed by increased work of breathing. Two hours post the below radiograph the neonate experienced a sudden desaturation.
Patient Data
Age: 4-8 weeks
From the case:
Congenital diaphragmatic hernia
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/56514/annotated_viewer_json?iframe=true\u0026lang=us"}
- multiple loops of bowel within the left hemithorax
- left diaphragm difficult to visualize
- contents of the mediastinum appear shifted to the right
Case Discussion
Congenital diaphragmatic hernias usually arise as either a Bochdalek hernia or a Morgagni henia.
Bochadalek hernias are the more prevent of the two diaphragmatic hernias. They are often left sided. This is in contrast to the Morgagni hernia, which is usually right sided and less common.