Congenital diaphragmatic hernia ultrasound: Difference between revisions
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{{Congenital diaphragmatic hernia}} | {{Congenital diaphragmatic hernia}} | ||
{{CMG}} | {{CMG}}; '''Associate Editor(s)-in-Chief:''' [[User:AroojNaz|Arooj Naz, M.B.B.S]] | ||
==Overview== | ==Overview== | ||
[[Ultrasonography]] findings in cases of CDH include [[polyhydramnios]], an absent or intrathoracic [[stomach bubble]], [[mediastinal shift]] towards the normal side and [[herniation]] into the chest. [[Ultrasound]] findings can also help detect the [[observed-to-expected lung-to-head ratio]], which can assist in predicting survival rate. | |||
==Ultrasound== | ==Ultrasound== | ||
Prenatal ultrasonographic features of CDH include:<ref name="“Radiopaedia”2">{{cite web|url=https://radiopaedia.org/articles/congenital-diaphragmatic-hernia-1?lang=us#image_list_item_314}}</ref> | |||
* | *[[polyhydramnios]] | ||
*An absent or intrathoracic [[stomach bubble]] | |||
*A [[mediastinal shift]] and [[cardiac shift]] away from the affected side | |||
*[[herniation]] into the chest | |||
{| class="wikitable" | |||
|+[[Observed-to-expected lung-to-head ratio]] (O/E LHR)<ref name="“Radiopaedia”">{{cite web|url=https://radiopaedia.org/articles/congenital-diaphragmatic-hernia-1?lang=us#image_list_item_314}}</ref> | |||
!Percentage of O/E LHR | |||
!Severity of [[Pulmonary Hypoplasia]] | |||
!Survival Rate | |||
|- | |||
|O/E LHR <15% | |||
|Extreme | |||
|Nearly 0% | |||
|- | |||
|O/E LHR 15-25% | |||
|Severe | |||
|~15% | |||
|- | |||
|O/E LHR 26-45% | |||
|Moderate | |||
|30%-75% | |||
|- | |||
|O/E LHR >45% | |||
|Mild | |||
|Very high | |||
|} | |||
[[File:Congenital-diaphragmatic-hernia-25.jpg|none|thumb|300x300px|Case courtesy of Dr Hani Makky Al Salam, Radiopaedia.org, rID: 9512]] | |||
[[File:Polyhydramnios.png|none|thumb|300x300px|Polyhydramnios: Case courtesy of Dr Henry Knipe, Radiopaedia.org, rID: 37789]] | |||
<br /> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:needs english review]] | |||
Latest revision as of 01:36, 7 August 2022
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Congenital diaphragmatic hernia Microchapters |
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Differentiating Congenital diaphragmatic hernia from Other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Congenital diaphragmatic hernia ultrasound On the Web |
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American Roentgen Ray Society Images of Congenital diaphragmatic hernia ultrasound |
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Directions to Hospitals Treating Congenital diaphragmatic hernia |
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Risk calculators and risk factors for Congenital diaphragmatic hernia ultrasound |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S
Overview
Ultrasonography findings in cases of CDH include polyhydramnios, an absent or intrathoracic stomach bubble, mediastinal shift towards the normal side and herniation into the chest. Ultrasound findings can also help detect the observed-to-expected lung-to-head ratio, which can assist in predicting survival rate.
Ultrasound
Prenatal ultrasonographic features of CDH include:[1]
- polyhydramnios
- An absent or intrathoracic stomach bubble
- A mediastinal shift and cardiac shift away from the affected side
- herniation into the chest
| Percentage of O/E LHR | Severity of Pulmonary Hypoplasia | Survival Rate |
|---|---|---|
| O/E LHR <15% | Extreme | Nearly 0% |
| O/E LHR 15-25% | Severe | ~15% |
| O/E LHR 26-45% | Moderate | 30%-75% |
| O/E LHR >45% | Mild | Very high |
References
- ↑ https://radiopaedia.org/articles/congenital-diaphragmatic-hernia-1?lang=us#image_list_item_314. Missing or empty
|title=(help) - ↑ https://radiopaedia.org/articles/congenital-diaphragmatic-hernia-1?lang=us#image_list_item_314. Missing or empty
|title=(help)