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CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2017; 04(03): 153-155
DOI: 10.1007/s40556-017-0131-5
Brief Communication

Antenatal Diagnosis of Congenital Diaphragmatic Hernia and Successful Outcome After Postnatal Surgery

Deval Shah
1   Department of Gynaecology, Astha Hospital and Fetal Medicine Centre, Deesa, Gujarat, India
,
P. K. Vaghela
2   Department of Gynaecology, Satyam Hospital, Deesa, Gujarat, India
,
Suresh Patel
3   Department of Radiology, Banas Sonography Centre, Deesa, Gujarat, India
,
Prashant Acharya
4   Department of Fetal Medicine, Paras Fetal Medicine Centre, Ahmedabad, Gujarat, India
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Abstract

Congenital diaphragmatic hernia (CDH) is a group of disorders where abdominal contents protrude into the chest. The prognosis depends on the contralateral lung volume. The authors evaluated a case of left sided diaphragmatic hernia that was diagnosed at 32 week, and confirmed by MRI. Sonography based Lung to Head circumference ratio (LHR) was calculated. The case was managed at a tertiary care centre where the newborn was immediately shifted to the pediatrician and pediatric surgeon and was operated. Antenatal sonography is the primary modality to diagnose CDH. LHR based on sonography is the key to predict pulmonary hypoplasia and, an MRI is additive. The management needs a multidisciplinary approach.

Keywords

Congenital diaphragmatic hernia - Four chamber view - Contralateral lung volume - Lung to head circumference ratio


Publication History

Received: 24 May 2017

Accepted: 05 July 2017

Article published online:
08 May 2023

© 2017. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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