Dirk Schaper (Halle/S.)  

Viewable for logged on visitors (Log on)  

Newborn  

N/A  

Thorax-Other and unknown  

congenital  

Birth in outside clinic after a normal course of pregnancy. Prenatal sonography was without abnormal findings. Postnatally, there was a missing respiratory sound on the left. Radiological diagnostics were ordered. Transfer to the pediatric department in stable general condition without respiration.  

The lung of the afflicted side is almost always hypoplastic.  

<- view X-Ray 2

X-Ray 2: Postnatal X-Ray of the thorax and abdomen, multiple air-filled structures in the left hemithoracic area, widening of the intercostal spaces, displacement of the mediastinum to the right, relatively air-depleted abdomen.






<- view X-Ray 3

X-Ray 3: Postoperative X-Ray, not completely expanded lung, obvious border of thorax and abdomen through the diaphragm.






<- view OP-Situs 3

OP-Situs 3: Intraoperative condition after opening the abdomen.





<- view OP-Situs 4

OP-Situs 4: Intraoperative condition with probe in the defect.




<- view OP-Situs 5

OP-Situs 5: Everted organs are shown.


 

Surgery / Histo  

Pulmonary cyst, CCAM  

In stable general condition, the left diaphragmal hernia was closed. There was a sufficiently placed, ventral diaphragmal border. Stress-free closing without patch.  

N/A  

N/A  

1. Medline:
Downard CD, Jaksic T, Garza JJ, Dzakovic A, Nemes L, Jennings RW, Wilson JM.
Analysis of an improved survival rate for congenital diaphragmatic hernia.
J Pediatr Surg 2003 May;38(5):729-32  

congenital, diaphragmatic hernia, eventration, hypoplastic lung, congenital diaphragmatic hernia, absent breathing sounds, child, childhood, pediatric radiology  

Dirk Schaper. Congenital diaphragmatic hernia (CDH), left. PedRad [serial online] vol 3, no. 5.
URL: www.PedRad.info/?search=20030519223650