Postnatal ultrasonography for evaluation of hernia sac of neonate with congenital diaphragmatic hernia

Congenital diaphragmatic hernia (CDH) is one of the most common major congenital anomalies. The presence of a hernia sac is associated with additional benefits in terms of improved neonatal survival. Here, we report a case of CDH with a hernia sac detected via postnatal ultrasonography. Our literatu...

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Bibliographic Details
Main Authors: Takahiro Hosokawa, MD, Yutaka Tanami, MD, Yumiko Sato, MD, Eiji Oguma, MD, Kanako Omata, MD, Hiroshi Kawashima, MD, Yoshitake Yamada, MD
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043319300366
Description
Summary:Congenital diaphragmatic hernia (CDH) is one of the most common major congenital anomalies. The presence of a hernia sac is associated with additional benefits in terms of improved neonatal survival. Here, we report a case of CDH with a hernia sac detected via postnatal ultrasonography. Our literature search did not find other cases where CDH with hernia sac was found by postnatal ultrasound in neonates. In prenatal imaging, the diagnosis of CDH with a hernia sac is challenging. In our case, the meniscus of the thymus was clearly noted, and smooth convexity between the hernia contents and thymus was detected. Although evaluation of the presence of a hernia sac with postnatal ultrasonography might be difficult, our findings suggest that a hernia sac could be evaluated with postnatal ultrasonography. Keywords: Congenital diaphragmatic hernia, Hernia sac, Ultrasonography, Bochdalek hernia
ISSN:1930-0433