Congenital diaphragmatic hernia: prevalence and management
Background: The morbidity and mortality of congenital diaphragmatic hernia is related to the severity of lung hypoplasia ,pulmonary hypertension and associated anomalies. Patients and methods: fifty nine consecutive patients with surgically proved diaphragmatic hernia (excluding hiatal hernia) were...
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| Format: | Article |
| Language: | English |
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College of Medicine University of Baghdad
2011-01-01
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| Series: | مجلة كلية الطب |
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| Online Access: | http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/935 |
| _version_ | 1797368758267805696 |
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| author | Hasan K. Gatea Faik T. Al-Gailani Raghad J. Abulhab |
| author_facet | Hasan K. Gatea Faik T. Al-Gailani Raghad J. Abulhab |
| author_sort | Hasan K. Gatea |
| collection | DOAJ |
| description | Background: The morbidity and mortality of congenital diaphragmatic hernia is related to the severity of lung hypoplasia ,pulmonary hypertension and associated anomalies.
Patients and methods: fifty nine consecutive patients with surgically proved diaphragmatic hernia (excluding hiatal hernia) were included in this prospective study. All patients were seen at Al- Kadhymia hospital for children and Al-Mustansyria hospital, in the period from January 2003 to December 2009.Plain chest x-ray was done for all the patients understudy, but barium study was arranged for only nine patients.
Results: There were fifty nine child with congenital diaphragmatic hernia , Bochdalek hernia forms 81.4% of all congenital diaphragmatic hernia, the peak incidence at presentation was in the neonatal period (80,2%) of patients. The chest roentgenographic appearance was diagnostic in 87.5% of the patients with Bochdalek while Morgagni hernia in 62.5% of patients was diagnostic. Morgagni hernia constitutes 13.6% of the congenital variety, commonly to the right side (87.5% of patients ).The incidence of presentation beyond the neonatal period was 50% of cases . Absence of hemidiaphragm was found in 5% of the congenital variety , the chest x-ray was diagnostic in all patients.
Conclusion: The chest roentgenograph (frontal view) is a very helpful diagnostic tool for the diaphragmatic hernia with a high diagnostic accuracy (73.7%). |
| first_indexed | 2024-03-08T17:37:21Z |
| format | Article |
| id | doaj.art-ca49cc23a73e4b418a5a6778c0caa2d1 |
| institution | Directory Open Access Journal |
| issn | 0041-9419 2410-8057 |
| language | English |
| last_indexed | 2024-03-08T17:37:21Z |
| publishDate | 2011-01-01 |
| publisher | College of Medicine University of Baghdad |
| record_format | Article |
| series | مجلة كلية الطب |
| spelling | doaj.art-ca49cc23a73e4b418a5a6778c0caa2d12024-01-02T11:51:14ZengCollege of Medicine University of Baghdadمجلة كلية الطب0041-94192410-80572011-01-0152410.32007/jfacmedbagdad.v4380-384%Congenital diaphragmatic hernia: prevalence and managementHasan K. Gatea0Faik T. Al-Gailani1Raghad J. Abulhab2Dept. of Surgery, Medical College, Baghdad University.Dept.of radiology, Al-Mustansiria hospitalDept. of surgery, Al-Kadhymia hospital for childrenBackground: The morbidity and mortality of congenital diaphragmatic hernia is related to the severity of lung hypoplasia ,pulmonary hypertension and associated anomalies. Patients and methods: fifty nine consecutive patients with surgically proved diaphragmatic hernia (excluding hiatal hernia) were included in this prospective study. All patients were seen at Al- Kadhymia hospital for children and Al-Mustansyria hospital, in the period from January 2003 to December 2009.Plain chest x-ray was done for all the patients understudy, but barium study was arranged for only nine patients. Results: There were fifty nine child with congenital diaphragmatic hernia , Bochdalek hernia forms 81.4% of all congenital diaphragmatic hernia, the peak incidence at presentation was in the neonatal period (80,2%) of patients. The chest roentgenographic appearance was diagnostic in 87.5% of the patients with Bochdalek while Morgagni hernia in 62.5% of patients was diagnostic. Morgagni hernia constitutes 13.6% of the congenital variety, commonly to the right side (87.5% of patients ).The incidence of presentation beyond the neonatal period was 50% of cases . Absence of hemidiaphragm was found in 5% of the congenital variety , the chest x-ray was diagnostic in all patients. Conclusion: The chest roentgenograph (frontal view) is a very helpful diagnostic tool for the diaphragmatic hernia with a high diagnostic accuracy (73.7%).http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/935Congenital diaphragmatic hernia(CDH), Bochdalek hernia (BH) , Morgagni hernia (M H.). |
| spellingShingle | Hasan K. Gatea Faik T. Al-Gailani Raghad J. Abulhab Congenital diaphragmatic hernia: prevalence and management مجلة كلية الطب Congenital diaphragmatic hernia(CDH), Bochdalek hernia (BH) , Morgagni hernia (M H.). |
| title | Congenital diaphragmatic hernia: prevalence and management |
| title_full | Congenital diaphragmatic hernia: prevalence and management |
| title_fullStr | Congenital diaphragmatic hernia: prevalence and management |
| title_full_unstemmed | Congenital diaphragmatic hernia: prevalence and management |
| title_short | Congenital diaphragmatic hernia: prevalence and management |
| title_sort | congenital diaphragmatic hernia prevalence and management |
| topic | Congenital diaphragmatic hernia(CDH), Bochdalek hernia (BH) , Morgagni hernia (M H.). |
| url | http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/935 |
| work_keys_str_mv | AT hasankgatea congenitaldiaphragmaticherniaprevalenceandmanagement AT faiktalgailani congenitaldiaphragmaticherniaprevalenceandmanagement AT raghadjabulhab congenitaldiaphragmaticherniaprevalenceandmanagement |