To explore the spectrum of different types of diaphragmatic hernias in pediatrics population.
Main radiological findings of CDH.
Post procedural images and outcome if applicable.
Congenital diaphragmatic hernias are seen in 1 of every 2000-4000 live births.
84% are left-sided,
13% are right-sided and 2% bilateral (usually fatal).
There are 3 basic types of congenital diaphragmatic hernia: posterolateral Bochdalek hernia,
anterior Morgagni hernia and hiatus hernia.
Hiatal hernias account for only 9% of diaphragmatic hernias in infants younger than 1year.
Congenital Diaphragmatic hernia (CDH) is characterized by a defect in the diaphragm leading to the protrusion of abdominal contents into the thoracic cavity affecting the normal development of the lungs....
Findings and procedure details
Prenatal diagnosis of Bochdalek and Morgagni hernia:
congenital diaphragmatic hernia (CDH) may be prenatally diagnosed as early as the second trimester.
ultrasound detects more than 50% ofCDH cases at a mean gestational age of 24 weeks.
The definitive sonographic diagnosis of fetal CDH relies on the visualization of abdominal organs in the fetal chest.
Left-sided CDH is characterized by the presence of a heterogeneous lesion (small bowel) in the left chest that often results in right mediastinal shift.
Fluid and peristalsis in...
Diagnosis of CDH and more importantly the position and contents of the herniation is achieved by different radiological modalities.
Dr Nehal Mohamed Saloum.
Hamad Medical Corporation,
1) Brian Coley,
Caffey's Pediatric Diagnostic Imaging.
2) Holly L,
Congenital diaphragmatic hernia: Prenatal issues Congenital diaphragmatic hernia – UpToDate.
3) Maish MS.
Surg Clin N Am.
4) Schumpelick V,
Surgical embryology and anatomy of the diaphragm with surgical applications.
Surg Clin North Am.
5) Taylor GA,
Imaging of congenital diaphragmatic hernias.
6) Kotecha S,
Congenital diaphragmatic hernia.
Eur Respir J.