2,034 results match your criteria Congenital Diaphragmatic Hernia Imaging

High insertion of the right diaphragm complicated with congenital diaphragmatic hernia: A case report of rare thoracoscopic findings.

Asian J Endosc Surg 2022 Jun 20. Epub 2022 Jun 20.

Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan.

We encountered a case of high insertion of the right diaphragm complicated with congenital diaphragmatic hernia that was diagnosed based on thoracoscopic findings. A full-term male baby was suspected of having right congenital diaphragmatic hernia or diaphragmatic eventration on postnatal imaging. He only had episodes of mild but prolonged symptoms following upper respiratory tract infection and his course was otherwise uneventful during outpatient monitoring. Read More

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Two unusual fat-containing mediastinal entities: Pearls and pitfalls in imaging of Morgagni hernia and fat necrosis.

Semin Ultrasound CT MR 2022 Jun 5;43(3):267-278. Epub 2022 Feb 5.

Department of Thoracic Imaging, University of Texas MD Anderson Cancer Center, Houston, TX.

This review focuses on 2 fat-containing entities in the mediastinum that may raise a diagnostic challenge: Morgagni's hernia and Epipericardial (mediastinal) fat necrosis. Familiarity with the typical imaging findings of these 2 entities is vital for the radiologist to recognize and accurately characterize unusual mediastinal pathological conditions. Read More

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Congenital diaphragmatic hernia.

Nat Rev Dis Primers 2022 06 1;8(1):37. Epub 2022 Jun 1.

Department of Surgery, Division of Paediatric Surgery, Paediatrics & Child Health, Physiology & Pathophysiology, University of Manitoba, Winnipeg, Manitoba, Canada.

Congenital diaphragmatic hernia (CDH) is a rare birth defect characterized by incomplete closure of the diaphragm and herniation of fetal abdominal organs into the chest that results in pulmonary hypoplasia, postnatal pulmonary hypertension owing to vascular remodelling and cardiac dysfunction. The high mortality and morbidity rates associated with CDH are directly related to the severity of cardiopulmonary pathophysiology. Although the aetiology remains unknown, CDH has a polygenic origin in approximately one-third of cases. Read More

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Lung ultrasound in Italian neonatal intensive care units: A national survey.

Pediatr Pulmonol 2022 May 30. Epub 2022 May 30.

Department of Neurosciences Psychology Drug Research and Child Health, Careggi University Hospital of Florence, Florence, Italy.

Introduction: Lung ultrasound (LU) is a noninvasive, bedside imaging technique that is attracting growing interest in the evaluation of neonatal respiratory diseases. We conducted a nationwide survey of LU usage in Italian neonatal intensive care units (NICUs).

Methods: A structured questionnaire was developed and sent online to 114 Italian NICUs from June to September 2021. Read More

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Imaging Assessment of Prognostic Parameters in Cases of Isolated Congenital Diaphragmatic Hernia: Integrative Review.

Rev Bras Ginecol Obstet 2022 Apr 27;44(4):435-441. Epub 2022 May 27.

Department of Maternal-Fetal Medicine, Universidade Estadual de Campinas, Campinas, SP, Brazil.

Objective:  Antenatal recognition of severe cases of congenital diaphragmatic hernia (CDH) by ultrasound (US) and magnetic resonance imaging (MRI) may aid decisions regarding the indication of fetal endoscopic tracheal occlusion.

Methods:  An integrative review was performed. Searches in MEDLINE and EMBASE used terms related to CDH, diagnosis, MRI, and US. Read More

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Non-traumatic Tension Gastrothorax: A Potential Mimicker of Tension Pneumothorax.

J Radiol Case Rep 2021 Aug 1;15(8):1-7. Epub 2021 Aug 1.

Department of Radiology, University Hospitals Cleveland Medical Center/Case Western Reserve University School of Medicine, Cleveland, OH, USA.

Tension gastrothorax is a rare, life-threatening clinical condition caused by intrathoracic herniation of the stomach through a diaphragmatic defect which becomes increasingly distended over time. If not recognized promptly, this can rapidly progress to respiratory distress, mediastinal shift, and hemodynamic compromise. Initial clinical presentation and imaging findings closely mirror those of tension pneumothorax, confounding diagnosis and potentially leading to unnecessary interventions with increased risk of morbidity and mortality. Read More

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Quantitative cardiopulmonary magnetic resonance imaging in neonatal congenital diaphragmatic hernia.

Pediatr Radiol 2022 May 12. Epub 2022 May 12.

Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH, 45229-3039, USA.

Background: Pulmonary arterial hypertension, impaired cardiac function and lung hypoplasia are common in infants with congenital diaphragmatic hernia (CDH) and are associated with increased morbidity and mortality. Robust noninvasive methods to quantify these abnormalities in early infancy are lacking.

Objective: To determine the feasibility of MRI to quantify cardiopulmonary hemodynamics and function in infants with CDH and to investigate left-right blood flow and lung volume discrepancies. Read More

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Liver herniation mimicking a thoracic tumor with restoration of the liver surface structure on closure of the hernia orifice under thoracoscopic surgery.

Asian J Endosc Surg 2022 Apr 20. Epub 2022 Apr 20.

Department of General Thoracic Surgery, National Center for Global Health and Medicine, Tokyo, Japan.

Non-congenital, non-traumatic spontaneous diaphragmatic liver hernia in adults is extremely rare and sometimes misdiagnosed as a thoracic tumor. Almost all previous reports with a definitive diagnosis reported preservation; thus, differential diagnosis is extremely important for planning optimal management of such clinical conditions. An abnormal shadow in the right lower lung field was detected on chest radiography in a 61-year-old woman. Read More

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Congenital Diaphragmatic Hernia in an Adult.

N Engl J Med 2022 Apr 16;386(16):e42. Epub 2022 Apr 16.

Chi Mei Medical Center, Tainan City, Taiwan

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Ectopic Intrathoracic Kidney Associated with Ipsilateral Ectopic Spleen and Diaphragmatic Hernia in a Pediatric Patient: A Case Report.

Tanaffos 2021 Mar;20(3):291-293

Department of Pediatric Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Background: Intrathoracic kidney is the rarest form of an ectopic kidney that is usually accompanied by left congenital diaphragmatic hernia (CDH) (Bochdalek hernia), the association of which with other anomalies is rare.

Case Presentation: Herein, we describe a case with a diagnosis of an intrathoracic kidney associated with the ectopic spleen and diaphragmatic hernia diagnosed during imaging studies for urinary tract infections (UTIs). This study reports an 11-month-old male case with a history of CDH and several episodes of UTIs. Read More

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Congenital diaphragmatic hernia and early lethality in PIGL-related disorder.

Eur J Med Genet 2022 May 1;65(5):104501. Epub 2022 Apr 1.

Department of Fetal Medicine & Medical Imaging, Corniche Hospital, Abu Dhabi, United Arab Emirates; College of Medicine and Health Sciences, Khalifa University, Abu Dhabi, United Arab Emirates.

We report on three male siblings who presented prenatally with a nearly identical combination of congenital anomalies and who died shortly after preterm birth. The first baby was a singleton pregnancy, and the other two babies were dichorionic diamniotic twins. Key features included: left-sided congenital diaphragmatic hernia, inferior vermian dysgenesis/hypoplasia, prenasal edema, cleft palate, micropenis/ambiguous genitalia (in 2 of 3 babies), bilateral renal pelvic dilatation (in twins, first baby showed slightly enlarged kidneys) and polyhydramnios (in 2 of 3). Read More

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Pleuroperitoneal Hernia in an Adult Patient.

Perm J 2021 12 14;25. Epub 2021 Dec 14.

Universidad El Bosque, Bogotá, Colombia.

Introduction: Pleuroperitoneal hernia is the most frequent diaphragmatic congenital hernia, appearing in 1 in 3,000 births. This diaphragmatic defect is located on the left side in 80% to 90% of cases. Pleuroperitoneal hernia is usually diagnosed in the first 8 weeks of life due to respiratory compromise caused by the herniation of abdominal organs into the thoracic cavity; therefore, adult presentation is a rare condition. Read More

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December 2021

Morgagni hernia presented as sudden dyspnea in 70 years old man: a case report.

Pan Afr Med J 2022 17;41:42. Epub 2022 Jan 17.

Urology Research Center, Al-Thora General Hospital, Department of Urology, School of Medicine, Ibb University of Medical Science, Ibb, Yemen.

Diaphragmatic hernia is a structural defect caused by inadequate fusion of the pleuroperitoneal membrane of the diaphragm, allowing peritoneal viscera to protrude into the pleural cavity. The occurrence of Morgagni hernia in the adult is infrequent and almost asymptomatic. Symptomatic cases are even rarer, with a wide range of respiratory and gastrointestinal manifestations that make it difficult to diagnose. Read More

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Late presentation of congenital type IV esophageal hiatus hernia in a 9-year-old boy: a case report.

J Med Case Rep 2022 Mar 15;16(1):104. Epub 2022 Mar 15.

Department of Pediatric, Clinical Research Development Center of Children Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

Background: Congenital diaphragmatic hernia affects 1 in every 2000-5000 live births. The mediastinum shifts to the opposite side, the lungs are hypoplastic, and the arterioles are abnormal, resulting in pulmonary hypertension. Respiratory and cardiovascular functions are severely impaired at birth, resulting in significant mortality and morbidity as a result of the associated malformations. Read More

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Delayed presentation of congenital diaphragmatic hernia: a case report.

Pan Afr Med J 2021 21;40:242. Epub 2021 Dec 21.

Department of Orthopedy, Ibb University of Medical Science, Ibb, Yemen.

Congenital diaphragmatic hernia (CDH) is known as a structural defect caused by inadequate fusion of the pleuroperitoneal membrane forming the diaphragm, allowing peritoneal viscera to protrude into the pleural cavity. It affects nearly one out of 2500 live births. We here report the case of a six-month-old boy with left diaphragmatic hernia presenting with poor feeding, breathing difficulty, cough, and recurrent pneumonia in the last 2 months. Read More

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Image-based prenatal predictors correlate with postnatal survival, extracorporeal life support use, and defect size in left congenital diaphragmatic hernia.

J Perinatol 2022 Feb 28. Epub 2022 Feb 28.

Department of Pediatric Surgery, McGovern Medical School at UTHealth and Children's Memorial Hermann Hospital, Houston, TX, USA.

Objective: To evaluate the association between prenatal imaging predictors of patients with left-sided congenital diaphragmatic hernia (LCDH) and postnatal outcomes.

Study Design: CDH study group data were reviewed for LCDH infants born 2015-2019. Prenatal ultrasound (US) and magnetic resonance imaging (MRI) data were collected and correlated with postnatal information including CDHSG defect size (A through D or non-repair (NR)). Read More

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February 2022

Acute Respiratory Failure, Ischemic Modifications on Electrocardiogram: Alternative Etiology-A Case of Morgagni Hernia.

Medicina (Kaunas) 2022 Jan 28;58(2). Epub 2022 Jan 28.

"George Emil Palade" University of Medicine, Pharmacy, Science and Technology, 540142 Târgu Mureș, Romania.

We discovered a rare pathology described in adulthood, followed by the development of a long asymptomatic evolution, which underlined the importance of multidisciplinary collaboration. We present the case of a 62-year-old female smoker patient, with a known previous medical history of chronic ischemic heart disease, hypertension, chronic obstructive pulmonary disease (COPD), gastric ulcer and gastritis. The patient was rushed to the emergency room (ER) with acute respiratory failure, chest discomfort, ankle and facial edema and a chest X-ray showing a right lower pulmonary lobe consolidation, with an alarming ischemic electrocardiogram (ECG) modification without increasing myocardial cytolysis indicators. Read More

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January 2022

Antenatal management of congenital diaphragmatic hernia: What's next ?

Prenat Diagn 2022 Mar;42(3):291-300

Department of Development and Regeneration, Cluster Woman and Child, KU Leuven, Leuven, Belgium.

Congenital diaphragmatic hernia can be diagnosed in the prenatal period and its severity can be measured by fetal imaging. There is now level I evidence that, in selected cases, Fetoscopic Endoluminal Tracheal Occlusion with a balloon increases survival to discharge from the neonatal unit as well as the risk for prematurity. Both effects are dependent on the time point of tracheal occlusion. Read More

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Liver pathological alterations in fetal rabbit model of congenital diaphragmatic hernia.

Congenit Anom (Kyoto) 2022 May 25;62(3):105-112. Epub 2022 Feb 25.

Pediatric and Adolescent Unit, Department of Internal Medicine, University of Pavia, Pavia, Italy.

To date, fetal liver implication is not a well-understood phenomenon in congenital diaphragmatic hernia (CDH). We evaluated the fetal morphologic changes on liver growth after surgical procedure in CDH experimental model. A diaphragmatic defect at gestational day E25 and tracheal occlusion (TO) at E27 were surgically created in rabbit fetuses. Read More

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EBNEO commentary: Foetal surgery for severe left diaphragmatic hernia.

Acta Paediatr 2022 Jun 22;111(6):1287-1288. Epub 2022 Feb 22.

SAHMRI Women and Kids, South Australian Health and Medical Institute, North Adelaide, South Australia, Australia.

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Delayed presentation of a post-traumatic large right diaphragmatic hernia displacing liver and gallbladder - A case report.

Asian J Endosc Surg 2022 Apr 7;15(2):388-392. Epub 2022 Feb 7.

Department of Minimal Access GI Surgery, Apollo Hospitals, Chennai, India.

Blunt or penetrating trauma resulting in injury or rupture of the diaphragm is rare and constitutes about 1% to 3.9% of all thoraco-abdominal injuries. It is often regarded as a marker of severe trauma. Read More

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Atypical Antenatal Presentation of an Unusual Nonmucinous Papillary Variant of Giant Congenital Pulmonary Airway Malformation Masquerading as Congenital Diaphragmatic Hernia with Volvulus.

J Med Ultrasound 2021 Oct-Dec;29(4):284-287. Epub 2021 May 4.

Department of Fetal Medicine and Perinatology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.

We report a case of a huge congenital pulmonary airway malformation (CPAM) that was referred as congenital diaphragmatic hernia (CDH). Initial ultrasound evaluation revealed a huge cystic lesion with septations, in the thorax, causing mediastinal shift and compression effects, suggesting the possibility of a thoracic lymphangioma, or bowel herniation with obstruction. A fetal magnetic resonance imaging reported possible bowel herniation through a posterior defect in the diaphragm, with volvulus, reinforcing the diagnosis of CDH. Read More

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Rate of head ultrasound abnormalities at one month in very premature and extremely premature infants with normal initial screening ultrasound.

Pediatr Radiol 2022 05 31;52(6):1150-1157. Epub 2022 Jan 31.

Department of Radiology and Biomedical Imaging, University of California, San Francisco, Benioff Children's Hospital, 1975 Fourth St., San Francisco, CA, 94158, USA.

Background: Premature infants are at risk for multiple types of intracranial injury with potentially significant long-term neurological impact. The number of screening head ultrasounds needed to detect such injuries remains controversial.

Objective: To determine the rate of abnormal findings on routine follow-up head ultrasound (US) performed in infants born at ≤ 32 weeks' gestational age (GA) after initial normal screening US. Read More

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Imaging in neonatal respiratory disease.

Paediatr Respir Rev 2021 Dec 23. Epub 2021 Dec 23.

Cincinnati Children's Hospital Medical Center, 3333 Burnett Ave, Cincinnati, OH 45229, United States.

The purpose of this review is to describe the current state of the art in clinical imaging for NICU patients, divided into major areas that correspond to likely phenotypes of neonatal respiratory disease: airway abnormalities, parenchymal disease, and pulmonary vascular disease. All common imaging modalities (ultrasound, X-ray, CT, and MRI) are discussed, with an emphasis on modalities that are most relevant to the individual underlying aspects of disease. Some promising aspects of dynamic and functional imaging are included, where there may be future clinical applicability. Read More

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December 2021

Rapid evolution of a Morgagni hernia with herniation of the left hepatic lobe: case report and review of the literature.

J Surg Case Rep 2022 Jan 19;2022(1):rjab616. Epub 2022 Jan 19.

Morgagni hernias are a rare form of congenital diaphragmatic hernia, commonly found on cross-sectional imaging. Repair is generally performed electively for pulmonary or gastrointestinal symptoms. Our case presented acutely with gastric obstruction. Read More

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January 2022

Echocardiographic measures of ventricular-vascular interactions in congenital diaphragmatic hernia.

Early Hum Dev 2022 02 29;165:105534. Epub 2021 Dec 29.

Department of Pediatrics, Central Michigan University, Mount Pleasant, MI, United States of America; Children's Hospital of Michigan, Detroit, MI, United States of America. Electronic address:

Objective: To evaluate the utility of echocardiographic measures of ventricular-vascular interactions in predicting death or ECMO in congenital diaphragmatic hernia (CDH).

Design: In this single center retrospective study, early (<48 hour age) Doppler ECHOs of neonates (≥34 weeks gestation) with CDH (n = 58) were reviewed. ECHO measures of the relationship of right ventricular (RV) contractility and pulmonary hypertension (PH) were selected: Ratios of 1. Read More

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February 2022

Recurrence of a congenital diaphragmatic hernia 57 years postoperatively: A case report and review of the literature.

Medicine (Baltimore) 2022 Jan;101(3):e28650

Department of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University, 2-7 Daigaku-machi, Takatsuki, Osaka, Japan.

Rationale: Postoperative recurrence of congenital diaphragmatic hernia (CDH) in adults is very rare. There is currently no precedent and no established treatment. We encountered a case of CDH which recurred 57 years, postoperatively. Read More

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January 2022

How should fetal surgery for congenital diaphragmatic hernia be implemented in the post-TOTAL trial era: A discussion.

Prenat Diagn 2022 Mar 22;42(3):301-309. Epub 2022 Jan 22.

Department of Pediatric Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Following prenatal diagnosis of congenital diaphragmatic hernia, severity can be predicted based on the presence of associated abnormalities, and in isolated cases, on lung size and position of the liver. Severe hypoplasia is defined by a contralateral lung size <25% on ultrasound; moderate hypoplasia is when that lung measures between 25% and 45% of the normal. In fetuses with predicted poor postnatal outcome a procedure that reverses pulmonary hypoplasia may be considered. Read More

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Author's Reply: Management of Morgagni's Hernia in the Adult Population: A Systematic Review of the Literature.

World J Surg 2022 03 13;46(3):727-728. Epub 2022 Jan 13.

First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, 17 Agiou Thoma Str., 11527, Athens, Greece.

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