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Congenital Diaphragmatic Hernia (Bochladek-type)

Dodge JD - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Congenital Diaphragmatic Hernia (Bochladek-type)

History: Newborn with respiratory distress

Findings: The initial chest radiograph shows multiple left intrathoracic air-filled loops of bowel with shift of mediastinal structures to the right and paucity of bowel gas in the abdomen. Immediate post-operative radiograph demonstrates lucency in the left hemithorax with continued shift of midline structures to the right, due to pneumothorax and pneumomediastinum. The pneumothorax is evidenced by the deep sulcus sign on the left. The pneumomediastinum is indicated by the visible superior border of the heart. 4 week follow-up radiograph shows the small size of the left lung with mild elevation of the left hemidiaphragm.

Ddx: o congenital diaphragmatic hernia (Bochladek) o lobar emphysema o cystic adenoid malformation

Dxhow: Surgery

Exam: Respiratory distress with decreased breath sounds on the left

No MeSH data available.


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Congenital Diaphragmatic Hernia (Bochladek-type)

Dodge JD - MedPix (2006)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2205&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Congenital Diaphragmatic Hernia (Bochladek-type)

History: Newborn with respiratory distress

Findings: The initial chest radiograph shows multiple left intrathoracic air-filled loops of bowel with shift of mediastinal structures to the right and paucity of bowel gas in the abdomen. Immediate post-operative radiograph demonstrates lucency in the left hemithorax with continued shift of midline structures to the right, due to pneumothorax and pneumomediastinum. The pneumothorax is evidenced by the deep sulcus sign on the left. The pneumomediastinum is indicated by the visible superior border of the heart. 4 week follow-up radiograph shows the small size of the left lung with mild elevation of the left hemidiaphragm.

Ddx: o congenital diaphragmatic hernia (Bochladek) o lobar emphysema o cystic adenoid malformation

Dxhow: Surgery

Exam: Respiratory distress with decreased breath sounds on the left

No MeSH data available.