medigraphic.com
ISSN 1561-3062 (Electronic)

2012, Number 4

<< Back Next >>

Revista Cubana de Obstetricia y Ginecología 2012; 38 (4)

Left congenital diaphragmatic hernia (Bochdaleck)

Yanes CM, Mesa SM, Rojas GRM, González SRM, Quintana AJR

Language: Spanish
References: 8
Page:
PDF size: 101.65 Kb.


ABSTRACT

Introduction: congenital diaphragmatic hernia is the most common developmental abnormality of the diaphragm. The term is most often used in Bochdaleck hernia on the left side of the diaphragm (75-90 %), it also refers to other less frequent variants. Congenital diaphragmatic hernia is seen 2-5 per 10,000 births. The inheritance pattern is multifactorial.
Objective: to highlight the importance of early diagnosis of congenital malformations by ultrasonography in primary health care.
Methods: we report the ultrasound prenatal diagnosis of a case that showed a cystic image, next to the heart in a longitudinal section of the chest, at 20 weeks of gestation. This image follows the heart beating in a «gastric dance», what was suspected a possible birth defect at the diaphragm, with no other demonstrable alteration in this time of pregnancy.
Result: prior genetic counseling, the couple decided the termination of pregnancy.
Conclusion: the case was confirmed by pathology as a left CDH.


REFERENCES

  1. Oliva Rodríguez J. Malformaciones localizadas en el abdomen fetal. En su: Ultrasonografía diagnóstica fetal, obstétrica y ginecológica (Parte I). Capítulo 7. [actualizado Dic 2009]. [consultado 10 Ago 2012]. Disponible en: http://www.perinatal.sld.cu/es/libros.htm

  2. Witters I, Legius E, Moerman P. Associated malformations and chromosomal anomalies in 42 cases of prenatally diagnosed diaphragmatic hernia. Am J Med Genet. 2001;103(4):278-82.

  3. Acosta JM, Thebaud B, Castillo C. Novel mechanisms in murine nitrofen-induced pulmonary hypoplasia: FGF- 10 rescue in culture. Am J Physiol Lung Cell Mol Physiol. 2001;281(1):L250-7.

  4. Kitano Y, Kanai M, Davies P. BAPS prize-1999: Lung growth induced by prenatal tracheal occlusion and its modifying factors: a study in the rat model of congenital diaphragmatic hernia. J Pediatr Surg. 2001;36(2):251-9.

  5. Keijzer R, Puri P. Congenital diaphragmatic hernia. Semin Pediatr Surg. 2010;19(3):180-5.

  6. Puri P, Nakazawa N. Congenital diaphragmatic hernia. In: Puri P, Hollworth M, eds. Pediatric surgery: diagnosis and management. Springer, 2009: chapter 31.

  7. Bolaños Nava I. Hernia diafragmática congénita. Rev Mexicana Anest. 2005;28(1):126-8.

  8. Ulma G. Anestesia for Thoracic Surgery. In: Gregory GA (ed). Pediatric Anesthesia. 4th ed. New York: Churchill Livingstone; 2002. p. 434-440.




2020     |     www.medigraphic.com