Volume 7, Issue 2, August 2014, Pages 480–482
Dr Devki Nandan1, Dr Amlin Shukla2, Dr Saji Vargheese3, and Dr Singhania Munni4
1 Fellowship in neonatology (Sydney) & Pediatric Pulmonology AIIMS (India), Associate Professor and Head of Unit, (Pediatrics & Pediatric Pulmonology), PGIMER, Dr RML Hospital, Govt. Of India, New Delhi, India
2 Senior resident, (Pediatrics), PGIMER, Dr RML Hospital, Govt. Of India, New Delhi, India
3 Pediatric Surgeon, GB Pant Hospital, Andamaan, India
4 Chief Medical Officer, GB Pant Hospital, Andamaan, India
Original language: English
Copyright © 2014 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Congenital diaphragmatic hernia (CDH) occurs when intra-abdominal contents herniate into the thoracic cavity through a defect in the diaphragm as a result of maldevelopment of fetal organs. It can be diagnosed in antenatal period with help of ultrasonography. Postnataly it presents soon after birth as respiratory distress along with a scaphoid abdomen. Radiological findings in a chest skiagram consist of bowel gas shadows in thoracic fields. We report here a case in which these pathognomonic features were not present making the diagnosis difficult. Repeated X ray chest films showed persistence of intrathoracic mass as no bowel shadows were visible. A CT scan with contrast of the chest was required to confirm the diagnosis later on.
Author Keywords: Diaphragmatic hernia, intrathoracic mass, opaque hemithorax, atypical radiological presentation hernia.
Dr Devki Nandan1, Dr Amlin Shukla2, Dr Saji Vargheese3, and Dr Singhania Munni4
1 Fellowship in neonatology (Sydney) & Pediatric Pulmonology AIIMS (India), Associate Professor and Head of Unit, (Pediatrics & Pediatric Pulmonology), PGIMER, Dr RML Hospital, Govt. Of India, New Delhi, India
2 Senior resident, (Pediatrics), PGIMER, Dr RML Hospital, Govt. Of India, New Delhi, India
3 Pediatric Surgeon, GB Pant Hospital, Andamaan, India
4 Chief Medical Officer, GB Pant Hospital, Andamaan, India
Original language: English
Copyright © 2014 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Congenital diaphragmatic hernia (CDH) occurs when intra-abdominal contents herniate into the thoracic cavity through a defect in the diaphragm as a result of maldevelopment of fetal organs. It can be diagnosed in antenatal period with help of ultrasonography. Postnataly it presents soon after birth as respiratory distress along with a scaphoid abdomen. Radiological findings in a chest skiagram consist of bowel gas shadows in thoracic fields. We report here a case in which these pathognomonic features were not present making the diagnosis difficult. Repeated X ray chest films showed persistence of intrathoracic mass as no bowel shadows were visible. A CT scan with contrast of the chest was required to confirm the diagnosis later on.
Author Keywords: Diaphragmatic hernia, intrathoracic mass, opaque hemithorax, atypical radiological presentation hernia.
How to Cite this Article
Dr Devki Nandan, Dr Amlin Shukla, Dr Saji Vargheese, and Dr Singhania Munni, “Incarcerated Congenital Diaphragmatic Hernia mimicking Intrathoracic Mass,” International Journal of Innovation and Applied Studies, vol. 7, no. 2, pp. 480–482, August 2014.
