Congenital diaphragmatic hernia other imaging findings: Difference between revisions
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{{Congenital diaphragmatic hernia}} | {{Congenital diaphragmatic hernia}} | ||
{{CMG}}; '''Associate Editor(s)-in-Chief:''' [[User:AroojNaz|Arooj Naz, M.B.B.S]] | |||
==Overview== | |||
[[Colour doppler]] can help identify abnormal positioning of the [[Umbilical vein|umbilical]] and [[Portal vein|portal]] veins that can indicate [[liver herniation]]. Findings can help differentiate between left and right sided CDH. | |||
==Other Imaging Findings== | |||
[[Colour doppler]] is a subtype of [[ultrasonography]] that detects the blood supply of a certain region. In the case of CDH and pregnancy, it is used to determine abnormal blood flow in the [[Umbilical vein|umbilical]] and [[Portal vein|portal]] veins as well as the positioning. Any abnormal positioning can indicate [[liver herniation]]. Due to increased [[echogenicity]] of the [[lung]] and [[liver]], doppler helps identify defects that may be missed upon normal [[ultrasonography]].<ref name="pmid20301533">{{cite journal| author=Adam MP, Ardinger HH, Pagon RA, Wallace SE, Bean LJH, Gripp KW | display-authors=etal| title=GeneReviews® | journal= | year= 1993 | volume= | issue= | pages= | pmid=20301533 | doi= | pmc= | url= }}</ref> | |||
{| class="wikitable" | |||
|+Doppler Findings for CDH <ref name="“Radiopaedia”">{{cite web|url=https://radiopaedia.org/articles/congenital-diaphragmatic-hernia-1?lang=us#image_list_item_314}}</ref> | |||
!Side of Defect | |||
!Findings | |||
|- | |||
|Left-sided CDH | |||
| | |||
*[[Small bowel]] and [[stomach]] at the same level; increase ease of detection | |||
*[[small bowel]] and [[stomach]] superior to the inferior margin of the [[scapula]] | |||
*[[Gallbladder]] displaced towards the left | |||
|- | |||
|Right-sided CDH | |||
| | |||
*[[Umbilical segment of the portal vein]] deviated to the left | |||
*[[gallbladder]] above the diaphragm | |||
|} | |||
[[File:Congenital-diaphragmatic-hernia-right-sided-1.jpg|none|thumb|300x300px|Case courtesy of Dr Fabien Ho, Radiopaedia.org, rID: 61528]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category: | [[Category:Up to date]] | ||
[[Category:Gastroenterology]] | |||
Latest revision as of 14:42, 7 December 2022
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Congenital diaphragmatic hernia Microchapters |
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Differentiating Congenital diaphragmatic hernia from Other Diseases |
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Congenital diaphragmatic hernia other imaging findings On the Web |
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Directions to Hospitals Treating Congenital diaphragmatic hernia |
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Risk calculators and risk factors for Congenital diaphragmatic hernia other imaging findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S
Overview
Colour doppler can help identify abnormal positioning of the umbilical and portal veins that can indicate liver herniation. Findings can help differentiate between left and right sided CDH.
Other Imaging Findings
Colour doppler is a subtype of ultrasonography that detects the blood supply of a certain region. In the case of CDH and pregnancy, it is used to determine abnormal blood flow in the umbilical and portal veins as well as the positioning. Any abnormal positioning can indicate liver herniation. Due to increased echogenicity of the lung and liver, doppler helps identify defects that may be missed upon normal ultrasonography.[1]
| Side of Defect | Findings |
|---|---|
| Left-sided CDH |
|
| Right-sided CDH |
|
