pediatrics
Diaphragmatic Hernia
Diagnosis of Diaphragmatic Hernia
Sometimes, by prenatal ultrasonography Chest x-ray In some cases, diaphragmatic hernia can be diagnosed by prenatal ultrasonography ( Diagnosis reference ). In the delivery room, diaphragmatic hernia may be suspected when newborns with respiratory distress have a scaphoid abdomen. After delivery, diagnosis is by chest x-ray showing the stomach and intestine protruding into the chest. In a large defect, there are numerous air-filled loops of intestine filling the hemithorax and contralateral displacement of the heart and mediastinal structures. If the x-ray is taken immediately after delivery before the neonate has swallowed air, the abdominal contents appear as an opaque airless mass in the hemithorax. 1.Cordier AG, Russo FM, Deprest J, et al: Prenatal diagnosis, imaging, and prognosis in congenital diaphragmatic hernia.Semin Perinatol44(1):51163, 2020. doi:10.1053/j.semperi.2019.07.002 