1,894 results match your criteria Congenital Diaphragmatic Hernia Imaging

Acquired right-sided diaphragmatic hernia in a patient with retroperitoneal hydatidosis: a case report and review of the literature.

J Med Case Rep 2021 Jun 18;15(1):320. Epub 2021 Jun 18.

Surgery Department, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Khobar, Saudi Arabia.

Background: Diaphragmatic hernia is primarily congenital in origin and has potentially devastating pulmonary complications. Acquired diaphragmatic hernia as a complication of hydatid disease remains a rare clinical entity. Retroperitoneal hydatidosis, in particular is an exceptionally rare cause behind a similar presentation. Read More

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Role of Imaging in Obstetric Interventions: Criteria, Considerations, and Complications.

Radiographics 2021 Jun 11:200163. Epub 2021 Jun 11.

From the Department of Radiology and Biomedical Imaging, University of California San Francisco, 505 Parnassus Ave, Box 0628, San Francisco, CA 94143-0628 (P.J., V.A.F.); Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Conn (M.V.R.); Department of Radiology, Winthrop University Hospital, Mineola, NY (D.S.K.); and Department of Radiology, University of Washington, Seattle, Wash (M.M.).

US has an established role in the prenatal detection of congenital and developmental disorders. Many pregnant women undergo US at 18-20 weeks of gestation for assessment of fetal anatomy and detection of structural anomalies. With advances in fetoscopy and minimally invasive procedures, in utero fetal interventions can be offered to address some of the detected structural and physiologic fetal abnormalities. Read More

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Neonatal abdominal X-rays: indications, procedure and interpretation.

Nurs Child Young People 2021 Jun 1. Epub 2021 Jun 1.

Torbay Hospital, Torquay, England.

Abdominal X-rays (AXRs) are one of the most common imaging modalities used to investigate suspected abdominal conditions in neonates. They are frequently requested for a variety of suspected conditions including necrotising enterocolitis, congenital diaphragmatic hernia, duodenal atresia and Hirschsprung's disease. Nurses play an important role in preparing and supporting neonates who are undergoing an AXR, and in some centres advanced neonatal nurse practitioners may be involved in requesting and interpreting AXRs as part of their enhanced role in patient management. Read More

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Diffuse neurofibroma of the chest and abdominal wall invading the diaphragm leads to diaphragmatic eventration: case report.

BMC Surg 2021 May 24;21(1):258. Epub 2021 May 24.

Jinhua Hospital, Zhejiang University School of Medicine, 7 / F, Building 8, No. 365, Renmin East Road, Jinhua, Zhejiang, China.

Background: Neurofibromatosis type 1 (NF1) is an autosomal dominant condition with a high rate of new mutation and variable expression. Diffuse neurofibroma of the epidermis invading deeper organs is rare.We report a case of diffuse subcutaneous neurofibroma in the thoracoabdominal wall which had invaded the diaphragm and caused diaphragmatic eventration. Read More

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Defective mesothelium and limited physical space are drivers of dysregulated lung development in a genetic model of congenital diaphragmatic hernia.

Development 2021 May 20;148(10). Epub 2021 May 20.

Departments of Biomedical Engineering, University of Delaware, Newark, DE 19716,USA.

Congenital diaphragmatic hernia (CDH) is a developmental disorder associated with diaphragm defects and lung hypoplasia. The etiology of CDH is complex and its clinical presentation is variable. We investigated the role of the pulmonary mesothelium in dysregulated lung growth noted in the Wt1 knockout mouse model of CDH. Read More

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Single incision laparoscopic repair for late-onset congenital diaphragmatic hernia using oval-shaped multichannel port device (E•Z ACCESS oval type)-2 months infantile case of Bochdalek hernia.

Asian J Endosc Surg 2021 May 18. Epub 2021 May 18.

Department of Pediatric Surgery, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.

Introduction: Late-onset congenital diaphragmatic hernia constitutes 10%-36% of congenital diaphragmatic hernias. They qualify for endoscopic treatment including both thoracoscopic and laparoscopic approaches because this type of patient is in relatively stable condition compared with neonatal cases. However, single incision laparoscopic approach has not been reported. Read More

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Morphometric Analysis of Brain in Newborn with Congenital Diaphragmatic Hernia.

Brain Sci 2021 Apr 2;11(4). Epub 2021 Apr 2.

Medical Physics Department, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Congenital diaphragmatic hernia (CDH) is a severe pediatric disorder with herniation of abdominal viscera into the thoracic cavity. Since neurodevelopmental impairment constitutes a common outcome, we performed morphometric magnetic resonance imaging (MRI) analysis on CDH infants to investigate cortical parameters such as cortical thickness (CT) and local gyrification index (LGI). By assessing CT and LGI distributions and their correlations with variables which might have an impact on oxygen delivery (total lung volume, TLV), we aimed to detect how altered perfusion affects cortical development in CDH. Read More

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Right sided Bochdalek diaphragmatic hernia appeared as a life-threatening event in an infant: a case report.

Pan Afr Med J 2021 10;38:150. Epub 2021 Feb 10.

Department of Paediatric Surgery, Medical School, Aristotle University of Thessaloniki, General Hospital of "Papageorgiou", Thessaloniki, Greece.

We report a case of a 5-month-old female infant who presented with a cardiorespiratory distress and shock. After thoracic computed tomography (CT) scan, a right sided Bochdalek hernia was diagnosed with massive herniation of the abdominal viscera causing mediastinal shift. The girl underwent emergency laparotomy, which confirmed the right sided diaphragmatic hernia with herniation of small bowel and colon. Read More

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Interrater agreement for sonographic stomach position classification in fetal diaphragmatic hernia across the North American Fetal Therapy Network.

Prenat Diagn 2021 Apr 5. Epub 2021 Apr 5.

The Fetal Center, Children's Memorial Hermann Hospital, University of Texas Health Science Center, Houston, Texas, USA.

Objective: To evaluate inter-rater agreement for sonographic classification of stomach position (as a surrogate for liver herniation) in fetal left congenital diaphragmatic hernia (LCDH) among: (i) fetal medicine specialists from the North American Fetal Therapy Network (NAFTNet) centers within and without the fetal endoscopic tracheal occlusion (FETO) consortium and in comparison to an expert external reviewer (ER1); and (iii) among two expert ERs (ER1 and ER2).

Methods: Forty-eight physicians from 26 NAFTNet centers and 2 ERs were asked to assess 13 sonographic clips of isolated LCDH and classify stomach position as "intra-abdominal," "anterior left chest," "mid to posterior left chest," or "retro-cardiac" based on the classification published by Basta et al. Interrater agreement was assessed by determining proportion of stomach position ratings concordant amongst NAFTNet participants and ER1. Read More

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Temporal changes in epidemiological profile and fetal indications for late termination of pregnancy: a retrospective single-center study.

Arch Gynecol Obstet 2021 Apr 2. Epub 2021 Apr 2.

Division of Fetomaternal Medicine, Department of Obstetrics and Gynecology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.

Purpose: To explore whether epidemiological shifts regarding reproduction and pregnancy have influenced the spectrum of indications for late termination of singleton pregnancies (TOP) above 17 weeks of gestation and to evaluate temporal changes in maternal demographics and fetal indications over the last 16 years.

Methods: Retrospective single-center cohort study involving all late TOPs preceded by feticide between 1 January 2004 and 31 December 2019 at a tertiary referral hospital in Austria. Outcome variables were retrieved and a time trend assessed between two 8-year intervals (2004-2011 versus 2012-2019). Read More

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Robotic repair of incarcerated morgagni hernia in an adult on the acute care surgery service

Rev Fac Cien Med Univ Nac Cordoba 2021 03 12;78(1):91-94. Epub 2021 Mar 12.

Loma Linda University Health.

Introduction: Morgagni hernia is a relatively uncommon anterior diaphragmatic defect, particularly in adults. We describe the case of a patient who presented with an incarcerated Morgagni hernia and was repaired by an Acute Care Surgery service.

Description: The patient is a 29 year old male who presented with a picture of bowel obstruction. Read More

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Fetal liver and lung volume index of neonatal survival with congenital diaphragmatic hernia.

Pediatr Radiol 2021 Mar 29. Epub 2021 Mar 29.

Department of Radiology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390, USA.

Background: Magnetic resonance imaging (MRI) assesses pulmonary hypoplasia in fetal congenital diaphragmatic hernia (CDH). Neonatal mortality may occur with CDH.

Objective: To quantify MRI parameters associated with neonatal survival in fetuses with isolated CDH. Read More

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Primary contributors to gastrostomy tube placement in infants with Congenital Diaphragmatic Hernia.

J Pediatr Surg 2021 Feb 19. Epub 2021 Feb 19.

University of Colorado, Section of Neonatology (Aurora, CO), Boulder, CO 80309, USA.

Objective: To identify factors associated with gastrostomy tube (GT) placement in infants with congenital diaphragmatic hernia (CDH).

Methods: Retrospective cohort study of 114 surviving infants with CDH at a single tertiary care neonatal intensive care unit from 2010-2019. Prenatal, perinatal and postnatal characteristics were compared between patients who were discharged home with and without a GT. Read More

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February 2021

Reproducibility of Lung and Liver Volume Measurements on Fetal Magnetic Resonance Imaging in Left-Sided Congenital Diaphragmatic Hernia.

Fetal Diagn Ther 2021 23;48(4):258-264. Epub 2021 Mar 23.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA,

Introduction: Congenital diaphragmatic hernia (CDH) affects 1 in 3,000 live births and is associated with significant morbidity and mortality.

Methods: A review of fetal magnetic resonance imaging (MRI) examinations was performed for fetuses with left CDH and normal lung controls. Image review and manual tracings were performed by 4 pediatric radiologists; right and left lung volumes in the coronal and axial planes as well as liver volume above and below the diaphragm in the coronal plane were measured. Read More

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Incidence and outcomes of patients with congenital diaphragmatic hernia and pulmonary sequestration.

J Pediatr Surg 2021 Jun 24;56(6):1126-1129. Epub 2021 Feb 24.

Department of Pediatric Surgery, McGovern Medical School at the University of Texas Health Science Center and Children's Memorial Hermann Hospital, 6431 Fannin St, MSB 5.258, Houston, TX 77030, United States.

Background: Bronchopulmonary sequestration (BPS) has long been identified in patients with congenital diaphragmatic hernia (CDH), however the reported incidence in the literature varies widely and is not based on large series.

Methods: Version 4 of the Congenital Diaphragmatic Hernia Study Group (CDHSG) included questions specifically identifying BPS-associated cases. The data were prospectively collected between 2015 and 2020. Read More

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Trisomy 5p with bilateral congenital diaphragmatic hernia: a case report.

J Med Case Rep 2021 Mar 10;15(1):114. Epub 2021 Mar 10.

Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.

Background: Bilateral congenital diaphragmatic hernia (CDH) is very rare. A few studies have reported the pathogenic role of 5p in CDH.

Case Presentation: A 23-year-old primigravida Japanese woman was referred for the following abnormal findings at 33 weeks of gestation: polyhydramnios, macroglossia, talipes equinovarus, and levocardia. Read More

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Congenital para-oesophageal hernia in a young infant presenting with pneumonia.

BMJ Case Rep 2021 Mar 16;14(3). Epub 2021 Mar 16.

Department of Cardiothoracic Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

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Decreased morbidity of 'bowel-only' left congenital diaphragmatic hernia patients: implications of prenatal ultrasound diagnosis for prenatal counseling and postnatal management.

Ultrasound Obstet Gynecol 2021 Mar 16. Epub 2021 Mar 16.

Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Objectives: To evaluate postnatal outcomes in "stomach-down" left congenital diaphragmatic hernias (CDH) diagnosed by prenatal ultrasound (US) compared to "bowel and stomach" containing left CDH.

Methods: Children with left CDH who underwent prenatal US and postnatal repair at our institution between January 2008 and March 2017 were eligible for this IRB-approved retrospective study. Detailed prenatal US examinations, fetal magnetic resonance imaging (MRI) studies, operative reports, and medical records of children enrolled in our Pulmonary Hypoplasia Program (PHP) were reviewed. Read More

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Cost-effective fetal lung volumetry for assessment of congenital diaphragmatic hernia.

Eur J Obstet Gynecol Reprod Biol 2021 May 3;260:22-28. Epub 2021 Mar 3.

Department of Obstetrics and Gynecology, Texas Children's Hospital & Baylor College of Medicine, Houston, TX, USA. Electronic address:

Objectives: (1) To investigate the reproducibility of total fetal lung volume (TFLV) measurements using a free 3D modeling software (3DSlicer); (2) To correlate these measurements with lung-to-head ratio (LHR) or TFLV measured using PACS and; (3) To determine the role of 3DSlicer in predicting perinatal outcomes in cases with congenital diaphragmatic hernia (CDH) who had fetal tracheal occlusion (FETO).

Methods: Retrospective cohort study between 2012 and 2017 at Texas Children's Hospital (2011-2017), including all patients who underwent FETO for CDH. LHR was measured by ultrasound and TFLV was measured by MRI at the time of referral and 6 weeks after FETO using 3DSlicer and PACS. Read More

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Functional and structural evaluation in the lungs of children with repaired congenital diaphragmatic hernia.

BMC Pediatr 2021 03 11;21(1):120. Epub 2021 Mar 11.

Departments of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Background: To evaluate the long-term functional and structural pulmonary development in children with repaired congenital diaphragmatic hernia (CDH) and to identify the associated perinatal-neonatal risk factors.

Methods: Children with repaired CDH through corrective surgery who were born at gestational age ≥ 35 weeks were included in this analysis. Those who were followed for at least 5 years were subjected to spirometry and chest computed tomography for evaluation of their functional and structural growth. Read More

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Maternal and fetal anaesthesia for fetal surgery.

Anaesthesia 2021 Apr;76 Suppl 4:63-68

Department of Anaesthesia, Great Ormond Street Hospital, London, UK.

Over the last three decades, advances in early diagnosis of fetal anomalies, imaging and surgical techniques have led to a huge expansion in fetal surgery. A small number of specialist centres perform fetal surgery, which involves high-risk anaesthesia for the mother and fetus. The anaesthetist plays an integral role within the large multispecialty and multidisciplinary team, involved in planning and delivering care for complex surgical procedures. Read More

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Operative management of an incidental portal vein aneurysm in the setting of an incarcerated congenital diaphragmatic hernia.

J Vasc Surg Cases Innov Tech 2021 Mar 27;7(1):64-67. Epub 2020 Oct 27.

Division of Vascular and Endovascular Surgery, Department of Surgery, Saint Louis University School of Medicine, St Louis, Mo.

Portal vein aneurysms are rare pathologic entities. A 3.7-cm portal vein aneurysm was incidentally discovered in an 80-year-old male patient on imaging for acute abdominal pain secondary to an incarcerated diaphragmatic hernia. Read More

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Study protocol: a core outcome set for perinatal interventions for congenital diaphragmatic hernia.

Trials 2021 Feb 23;22(1):158. Epub 2021 Feb 23.

Department of Development and Regeneration cluster Woman and Child, Biomedical Sciences, KU Leuven, Herestraat 49 - Box 805, B-3000, Leuven, Belgium.

Background: Congenital diaphragmatic hernia (CDH) is, depending of the severity, a birth defect associated with significant mortality and morbidity. Prenatal screening by ultrasound may detect this condition and comprehensive assessment of severity is possible, allowing for in utero referral to an experienced centre for planned delivery. In an effort to improve outcomes, prenatal interventions to stimulate lung development were proposed. Read More

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February 2021

Reference range of fetal thorax using two-dimensional and three-dimensional ultrasound VOCAL technique and application in fetal thoracic malformations.

BMC Med Imaging 2021 02 22;21(1):34. Epub 2021 Feb 22.

Department of Ultrasound Medicine, Second Affiliated Hospital of Fujian Medical University, No. 2 Ji'an Road, Fengze District, Quanzhou, China.

Background: To establish the normal reference range of fetal thorax by two-dimensional (2D) and three-dimensional (3D) ultrasound VOCAL technique and evaluate the application in diagnosing fetal thoracic malformations.

Methods: A prospective cross-sectional study was undertaken involving 1077 women who have a normal singleton pregnancy at 13-40 weeks gestational age (GA). 2D ultrasound and 3D ultrasound VOCAL technique were utilized to assess fetal thoracic transverse diameter, thoracic anteroposterior diameter, thoracic circumference, thoracic area, lung volume, thoracic volume and lung-to-thoracic volume ratio. Read More

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February 2021

Prenatal diagnosis of intestinal nonrotation using magnetic resonance imaging: Is it possible?

Pediatr Radiol 2021 Feb 20. Epub 2021 Feb 20.

Department of Radiology and Fetal Medicine Institute, Children's National Medical Center, 111 Michigan Ave., Washington, DC, 20010, USA.

Background: Malrotation of the bowel refers to any variation in the rotation and fixation of the gastrointestinal tract during the first trimester and is most commonly detected postnatally. Nonrotation of the bowel and incomplete rotation of the bowel are subtypes of malrotation.

Objective: To determine if the nonrotation subtype of malrotation of the bowel can be detected on prenatal magnetic resonance imaging (MRI). Read More

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February 2021

Tension gastrothorax in late-onset congenital diaphragmatic hernia, a rare but life-threatening condition: A case report.

In-Hag Song

Medicine (Baltimore) 2021 Feb;100(7):e24815

Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Cheonan Hospital, Chenan-si, South Korea.

Rationale: Tension gastrothorax is a serious condition that can cause acute respiratory failure, which is mostly related to congenital diaphragmatic hernia (CDH) in pediatric cases. It is uncommon in late-onset CDH patients, and is difficult to diagnose due to atypical presentation. It is often misdiagnosed as tension pneumothorax or pleural effusion, leading to delayed treatment and potentially fatal outcome. Read More

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February 2021

Unusual case of delayed congenital diaphragmatic hernia in Loeys-Dietz syndrome: a case report.

J Surg Case Rep 2021 Jan 31;2021(1):rjaa604. Epub 2021 Jan 31.

Department of Pediatric Surgery, Johns Hopkins University School of Medicine, Baltimore MD, USA.

Congenital diaphragmatic hernias rarely present after 2 months of age and are typically diagnosed in the perinatal period. Moderate to severe diaphragmatic hernias present with respiratory symptoms, while late-onset hernias have a more varied presentation, depending on the age and content of the hernia. Very rarely, such hernias are found on incidental imaging, in which surgical repair is frequently recommended. Read More

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January 2021

Three-dimensional reconstruction model in the diagnosis of Morgagni's hernia.

BMJ Case Rep 2021 Feb 8;14(2). Epub 2021 Feb 8.

Department of Thoracic surgery, Beijing Chao-Yang Hospital, Beijing, China.

Morgagni's hernia (MH) can be diagnosed by different utilities, but all these methods are not always 100% accurate. Three-dimensional (3D) reconstruction model could be helpful in better understanding the important anatomical structures. We report a case of MH who was once misdiagnosed as diaphragmatic eventration at the other institution and we offered laparoscopic repair according to the 3D reconstruction model. Read More

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February 2021

Perforated Appendicitis and Bowel Incarceration within Morgagni Hernia: A Case Report.

Medicina (Kaunas) 2021 Jan 21;57(2). Epub 2021 Jan 21.

Hospital for Digestive Surgery, First Surgical University Hospital, Clinical Centre of Serbia, Koste Todorovica Street, No. 6, 11000 Belgrade, Serbia.

Morgagni hernia (MH) is a result of abdominal organ protrusion through the congenital defect in the anterior retrosternal aspect of the diaphragm. The colon and omentum are the most commonly involved organs, followed by the small intestine, stomach and liver. Symptoms of MH may be absent, although the majority of patients will experience mild dyspnea or abdominal discomfort. Read More

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January 2021

Faecopneumothorax due to missing diaphragmatic hernia: a case report.

J Med Case Rep 2021 Jan 23;15(1):19. Epub 2021 Jan 23.

Department of General Surgery, Kayseri City Training and Research Hospital, Health Science University, Kayseri, Turkey.

Background: Diaphragmatic hernias may occur as either congenital or acquired. The most important cause of acquired diaphragmatic hernias is trauma, and the trauma can be due to blunt or penetrating injury. Diaphragmatic hernia may rarely be seen after thoracoabdominal trauma. Read More

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January 2021