Diaphragmatic hernia: respiratory distress in neonate

Case contributed by Townsville radiology training

Diagnosis certain

Citation, DOI, disclosures and case data

Citation:

training T, Diaphragmatic hernia: respiratory distress in neonate. Case study, Radiopaedia.org (Accessed on 31 May 2023) https://doi.org/10.53347/rID-18378

DOI:

https://doi.org/10.53347/rID-18378

Permalink:

https://radiopaedia.org/cases/18378

rID:

18378

Disclosures:

At the time the case was submitted for publication Townsville radiology training had no recorded disclosures.

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Case published:

3 Jul 2012

Revisions:

9 times, by 2 contributors - see full revision history and disclosures

Systems:

Chest, Paediatrics

Quiz mode:

Included

Presentation

Respiratory distress. Multiple attempts to cannulate umbilical artery and vein.

Patient Data

Age: 2 hours

Gender: Male

From the case: Diaphragmatic hernia: respiratory distress in neonate

x-ray

Frontal

Large left diaphragmatic hernia demonstrated. Mediastinum and umbilical venous catheter shifted to the right, with catheter tip in right atrium. The umbilical artery is coiled. Two umbilical arterial lines are in place. One extends into the right side of the pelvis, the other appears to extend into the sciatic vein.