Usefulness of Ultrasound in Evaluating the Diaphragm in Neonates and Infants With Congenital Diaphragmatic Hernias

J Ultrasound Med. 2019 Apr;38(4):1109-1113. doi: 10.1002/jum.14777. Epub 2018 Oct 22.

Abstract

This report describes the evaluations of 2 patients with congenital diaphragmatic hernias using ultrasound (US). Identifying the size of the diaphragmatic defect is important when determining the type of surgical repair required. In case 1, the US evaluation of a Bochdalek hernia showed the rim of the anterolateral diaphragm; therefore, thoracoscopic primary repair was performed. In case 2, (Morgagni-Larrey hernia), US revealed the left side of a retrosternal diaphragmatic hernia sac; therefore, thoracoscopic repair from the left thorax was performed. Ultrasound was useful for detecting the location and defect size of the diaphragmatic hernia and determining optimal surgical management.

Keywords: Bochdalek hernia; Morgagni hernia; Morgagni-Larrey hernia; congenital diaphragmatic hernia; pediatrics; ultrasound.

Publication types

  • Case Reports

MeSH terms

  • Diaphragm / diagnostic imaging
  • Diaphragm / surgery
  • Hernias, Diaphragmatic, Congenital / diagnostic imaging*
  • Hernias, Diaphragmatic, Congenital / surgery
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Ultrasonography / methods*