Defect in the diaphragm allowing herniation of abdominal contents into the thoracic cavity, causing varying degrees of pulmonary hypoplasia
There are four types of congenital diaphrag...
Prenatal history:
CDH is detected by prenatal ultrasound in >70% cases.
Mean gestational age at diagnosis is 24 weeks.
Poor prognostic factors:
Severe associated anomalies
Liver herniat...
Intubation and ventilation
Intubate in delivery room.
Avoid bag and mask ventilation.
Nasogastric tube insertion and continuous suction to decompress herniated contents and redu...
Many babies with CDH have long-term problems including:
Breathing or other lung problems
Not gaining weight
Digestive problems
Learning problems or hearing loss
Routine vaccin...
Bohn D. Congenital diaphragmatic hernia. Am J Respir Crit Care Med. 2002;166(7):911–915. [View Abstract on OvidInsights]
Danzer E, Gerdes M, D’Agostino JA, et al. Longitudinal ...
756.6 Anomalies of diaphragm
748.5 Agenesis, hypoplasia, and dysplasia of lung
Q79.0 Congenital diaphragmatic hernia
Q33.6 Congenital hypoplasia and dysplasia of lung
17190001 Congeni...
Q: What is the recurrence rate?
A: Reported rates of recurrence vary from 10% to 50%. Serial screening with CXR and a high index of suspicion is necessary. The typical presentation includes emesis,...
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<bold>Box 1.4 Congenital diaphragmatic hernia, typical (above) and variation (below).</bold>
FIGURE 66.8. Congenital diaphragmatic hernia. There is herniation of small intestine, large intestine, and stomach (or parts thereof) into the left hemithorax. Note the air in the descending colon.
FIGURE 66.8. Congenital diaphragmatic hernia. There is herniation of small intestine, large intestine, and stomach (or parts thereof) into...
Congenital diaphragmatic hernia. A. Abdominal surface of the diaphragm showing a large defect of the pleuroperitoneal membrane. B. Hernia of the intestinal loops and part of the stomach into the left pleural cavity. The heart and mediastinum are frequently pushed to the right and the left lung compressed. C. Radiograph of a newborn with a large defect in the left side of the diaphragm. Abdominal viscera have entered the thorax through the defect.
Congenital diaphragmatic hernia. A. Abdominal surface of the diaphragm showing a large defect of the pleuroperitoneal membrane. B. Hernia ...
<bold>Figure 12-15</bold> Congenital diaphragmatic hernia. Transverse sonographic image through the chest of a 23-week fetus demonstrates the heart (white arrow) to be shifted to the right by a herniated fluid-filled stomach (black arrow).
<bold>Figure 12-15</bold> Congenital diaphragmatic hernia. Transverse sonographic image through the chest of a 23-week fetus d...
<bold>Figure 12-16</bold> Congenital diaphragmatic hernia. Coronal T2 weighted image of a chest at 32 weeks gestation demonstrates herniation of stomach, bowel, and spleen into the left hemithorax. There is minimal deviation of mediastinal structures with the right lung and left upper lobes expanded.
<bold>Figure 12-16</bold> Congenital diaphragmatic hernia. Coronal T2 weighted image of a chest at 32 weeks gestation demonstr...
<bold>Figure 44-4 </bold> X-ray film of left diaphragmatic hernia with loops of bowel well up into the chest. Although most diaphragmatic hernias do not have a sac, the smooth curve of the sac in this instance is visible. Notice that the heart is displaced to the border of the right chest.
<bold>Figure 44-4 </bold> X-ray film of left diaphragmatic hernia with loops of bowel well up into the chest. Although most ...
FIG. 4.23. A 4-year-old boy was admitted with a 1-day history of recurrent severe upper abdominal colicky pain with dyspnea and decreased breath sounds in the left base. A posteroanterior chest radiograph demonstrates multiple bowel loops in the lower left chest, indicative of a congenital diaphragmatic hernia.
FIG. 4.23. A 4-year-old boy was admitted with a 1-day history of recurrent severe upper abdominal colicky pain with dyspnea and decreased ...
<bold>Fig C 28-6 Congenital diaphragmatic hernia.</bold> Multiple lucencies in the left chest due to gas-filled loops of bowel. The heart and mediastinal structures are shifted to the right.
<bold>Fig C 28-6 Congenital diaphragmatic hernia.</bold> Multiple lucencies in the left chest due to gas-filled loops of bowel...
<bold>FIGURE 109.20</bold> Autopsy specimen of an infant with severe pulmonary hypoplasia secondary to congenital diaphragmatic hernia. Pulmonary hypoplasia is bilateral, but the left lung is most severely affected.
<bold>FIGURE 109.20</bold> Autopsy specimen of an infant with severe pulmonary hypoplasia secondary to congenital diaphragmati...