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Congenital Diaphragmatic Hernia
Tyler H. Ternes, MD; Melissa L. Rosado-de-Christenson, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Congenital diaphragmatic hernia (CDH)
              • Definitions

                • Intrathoracic herniation of abdominal contents via diaphragmatic defect
                  • Bochdalek type: Posterolateral hernia (most common type of CDH)
                  • Morgagni type: Anterior (retrosternal); much less common in neonates

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • Ultrasonographic Findings

                      • MR Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        Selected References

                                        1. Kline-Fath BM: Congenital diaphramatic hernia. Pediatr Radiol. Epub ahead of print, 2011
                                        2. Sandstrom CK et al: Diaphragmatic hernias: a spectrum of radiographic appearances. Curr Probl Diagn Radiol. 40(3):95-115, 2011
                                        3. Chavhan GB et al: Multimodality imaging of the pediatric diaphragm: anatomy and pathologic conditions. Radiographics. 30(7):1797-817, 2010
                                        4. Holt PD et al: Newborns with diaphragmatic hernia: initial chest radiography does not have a role in predicting clinical outcome. Pediatr Radiol. 34(6):462-4, 2004
                                        5. Cohen MS et al: Influence of congenital heart disease on survival in children with congenital diaphragmatic hernia. J Pediatr. 141(1):25-30, 2002
                                        6. Sakurai M et al: Congenital diaphragmatic hernia in neonates: variations in umbilical catheter and enteric tube position. Radiology. 216(1):112-6, 2000
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Abbreviations

                                                      • Congenital diaphragmatic hernia (CDH)
                                                    • Definitions

                                                      • Intrathoracic herniation of abdominal contents via diaphragmatic defect
                                                        • Bochdalek type: Posterolateral hernia (most common type of CDH)
                                                        • Morgagni type: Anterior (retrosternal); much less common in neonates

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • Ultrasonographic Findings

                                                            • MR Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Consider

                                                                              Selected References

                                                                              1. Kline-Fath BM: Congenital diaphramatic hernia. Pediatr Radiol. Epub ahead of print, 2011
                                                                              2. Sandstrom CK et al: Diaphragmatic hernias: a spectrum of radiographic appearances. Curr Probl Diagn Radiol. 40(3):95-115, 2011
                                                                              3. Chavhan GB et al: Multimodality imaging of the pediatric diaphragm: anatomy and pathologic conditions. Radiographics. 30(7):1797-817, 2010
                                                                              4. Holt PD et al: Newborns with diaphragmatic hernia: initial chest radiography does not have a role in predicting clinical outcome. Pediatr Radiol. 34(6):462-4, 2004
                                                                              5. Cohen MS et al: Influence of congenital heart disease on survival in children with congenital diaphragmatic hernia. J Pediatr. 141(1):25-30, 2002
                                                                              6. Sakurai M et al: Congenital diaphragmatic hernia in neonates: variations in umbilical catheter and enteric tube position. Radiology. 216(1):112-6, 2000