+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Radiographic findings in late-presenting congenital diaphragmatic hernia: helpful imaging findings

Radiographic findings in late-presenting congenital diaphragmatic hernia: helpful imaging findings

Pediatric Radiology 42(3): 337-342

Imaging findings in delayed presentation of congenital diaphragmatic hernia can be confusing and misleading, resulting in a delay in diagnosis. To evaluate the often puzzling plain film findings of late-presenting CDH in an effort to determine whether any of the findings could be helpful in arriving at an early diagnosis. We reviewed and documented the plain film findings and clinical data in eight patients seen during the last 20 years with late-presenting CDH. IRB exempt status was obtained in this study. There were five boys and three girls. The age range was 4 months to 12 years with a mean of 2.4 years. Five children presented with acute respiratory problems while three presented with acute abdominal pain. Two children presented with both respiratory and abdominal findings and one also presented with hematemesis. Two children had radiographic findings that were not difficult to analyze while the remaining six had findings that posed initial diagnostic problems. Although not common, late-presenting CDH can result in confusing plain film radiographic findings and a delay in diagnosis. We found that the most important finding in analyzing these radiographs is in evaluating the location and position of the gastric bubble with the more common left-side hernias.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 036200307

Download citation: RISBibTeXText

PMID: 21892697

DOI: 10.1007/s00247-011-2226-9

Related references

Neonates with congenital diaphragmatic hernia: radiographic findings during partial liquid ventilation. Radiology 200(1): 219-223, 1996

Pleural hemorrhage in neonates on extracorporeal membrane oxygenation and after repair of congenital diaphragmatic hernia: imaging findings. Ajr. American Journal of Roentgenology 164(4): 951-955, 1995

Chest X-ray findings in late-onset congenital diaphragmatic hernia, a rare emergency easily misdiagnosed as hydropneumothorax: a case report. Journal of Medical Case Reports 9: 291, 2016

OC18.04: Prenatal ultrasound and magnetic resonance imaging findings in fetuses with heart defect associated with congenital diaphragmatic hernia. Ultrasound in Obstetrics & Gynecology 42(S1): 37-37, 2013

Secondary Imaging Findings Aid in Prenatal Diagnosis and Characterization of Congenital Diaphragmatic Hernia: Role of an Abnormal Orientation of Vascular Structures and Gallbladder Position. Journal of Ultrasound in Medicine 2018, 2018

Predictive Value of MRI Findings for the Identification of a Hernia Sac in Fetuses With Congenital Diaphragmatic Hernia. Ajr. American Journal of Roentgenology 205(5): 1121-1125, 2016

Late-presenting congenital diaphragmatic hernia. Archives of Disease in Childhood 96(7): 687-687, 2011

Late-presenting congenital diaphragmatic hernia. African Journal of Paediatric Surgery 11(2): 119-123, 2015

Late-presenting congenital diaphragmatic hernia. Journal of Pediatric Surgery 40(12): 1839-1843, 2005

Late-presenting congenital diaphragmatic hernia. Anales de Pediatria 76(3): 163-164, 2012

Late presenting congenital diaphragmatic hernia. Emergency Medicine Journal 21(2): 261-262, 2004

Clinical, echocardiographic, and radiographic findings of peritoneopericardial diaphragmatic hernia in two dogs and a cat. Journal of the American Veterinary Medical Association 195(9): 1245-1248, 1989

Fetal lung volume in congenital diaphragmatic hernia: association of prenatal MR imaging findings with postnatal chronic lung disease. Radiology 266(3): 887-895, 2013

Late-presenting congenital diaphragmatic hernia in childhood. Acta Paediatrica 100(3): 425-428, 2011

Prenatal findings of serpentine-like syndrome with congenital intrathoracic stomach: differential diagnosis from congenital diaphragmatic hernia. Journal of Medical Ultrasonics 2018, 2018