Congenital diaphragmatic hernia - Bochdalek (antenatal ultrasound)

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

G3P2 at 20 weeks of gestation.

Patient Data

Age: 30 years
Gender: Female

The fetal biometry is at 20 weeks + 4 days.

There is a posterior defect of the left hemidiaphragm with intrathoracic herniation of the stomach (the stomach and heart at the same level on transverse section). The heart is displaced to the right.

No other fetal anomalies were seen.

Case Discussion

Ultrasound features of a congenital diaphragmatic hernia, most likely Bochdalek type, which is considered the most common.

Additional contributor: R. Bouguelaa, MD

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