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

Deval Shah; P. K. Vaghela; Suresh Patel; Prashant Acharya

doi:10.1007/s40556-017-0131-5

Journal of Fetal Medicine, Table of Contents

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

Authors

Deval Shah

¹Department of Gynaecology, Astha Hospital and Fetal Medicine Centre, Deesa, Gujarat, India
P. K. Vaghela

²Department of Gynaecology, Satyam Hospital, Deesa, Gujarat, India
Suresh Patel

³Department of Radiology, Banas Sonography Centre, Deesa, Gujarat, India
Prashant Acharya

⁴Department of Fetal Medicine, Paras Fetal Medicine Centre, Ahmedabad, Gujarat, India

Abstract

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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

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