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Congenital Diaphragmatic Hernia: Multimedia

Author: Robin H Steinhorn, MD, Raymond and Hazel Speck Berry Professor of Pediatrics, Division Head of Neonatology, Associate Chair of Pediatrics, Northwestern University School of Medicine
Contributor Information and Disclosures

Updated: Jul 7, 2009

Multimedia

Radiograph of a 1-day-old infant with a moderate-...Media file 1: Radiograph of a 1-day-old infant with a moderate-sized congenital diaphragmatic hernia (CDH). Note the air- and fluid-filled bowel loops in the left chest, the moderate shift of the mediastinum into the right chest, and the position of the orogastric tube.
Radiograph of a 1-day-old infant with a moderate-...

Radiograph of a 1-day-old infant with a moderate-sized congenital diaphragmatic hernia (CDH). Note the air- and fluid-filled bowel loops in the left chest, the moderate shift of the mediastinum into the right chest, and the position of the orogastric tube.

More on Congenital Diaphragmatic Hernia

Overview: Congenital Diaphragmatic Hernia
Differential Diagnoses & Workup: Congenital Diaphragmatic Hernia
Treatment & Medication: Congenital Diaphragmatic Hernia
Follow-up: Congenital Diaphragmatic Hernia
Multimedia: Congenital Diaphragmatic Hernia
References
Further Reading

References

  1. Gross RE. Congenital hernia of the diaphragm. Am J Dis Child. 1946;71:579-592.

  2. Areechon W, Reid L. Hypoplasia of the lung associated with congenital diaphragmatic hernia. Br Med J. 1963;i:230-3.

  3. Klaassens M, de Klein A, Tibboel D. The etiology of congenital diaphragmatic hernia: Still largely unknown?. Eur J Med Genet. May 21 2009;[Medline].

  4. Jandus P, Savioz D, Purek L, Frey JG, Schnyder JM, Tschopp JM. [Bochdalek hernia: a rare cause of dyspnea and abdominal pain in adults]. Rev Med Suisse. May 13 2009;5(203):1061-4. [Medline].

  5. Fisher JC, Haley MJ, Ruiz-Elizalde A, Stolar CJ, Arkovitz MS. Multivariate model for predicting recurrence in congenital diaphragmatic hernia. J Pediatr Surg. Jun 2009;44(6):1173-9; discussion 1179-80. [Medline].

  6. Bryner BS, West BT, Hirschl RB, et al. Congenital diaphragmatic hernia requiring extracorporeal membrane oxygenation: does timing of repair matter?. J Pediatr Surg. Jun 2009;44(6):1165-71; discussion 1171-2. [Medline].

  7. Deprest JA, Gratacos E, Nicolaides K, et al. Changing perspectives on the perinatal management of isolated congenital diaphragmatic hernia in Europe. Clin Perinatol. Jun 2009;36(2):329-47, ix. [Medline].

  8. Walsh-Sukys MC, Tyson JE, Wright LL, et al. Persistent pulmonary hypertension of the newborn in the era before nitric oxide: practice variation and outcomes. Pediatrics. Jan 2000;105(1 Pt 1):14-20. [Medline].

  9. Harrison MR, Keller RL, Hawgood SB, et al. A randomized trial of fetal endoscopic tracheal occlusion for severe fetalcongenital diaphragmatic hernia. N Engl J Med. Nov 13 2003;349(20):1916-24. [Medline].

  10. Jelin E, Lee H. Tracheal occlusion for fetal congenital diaphragmatic hernia: the US experience. Clin Perinatol. Jun 2009;36(2):349-61, ix. [Medline].

  11. Peetsold M, Huisman J, Hofman VE, Heij HA, Raat H, Gemke RJ. Psychological outcome and quality of life in children born with congenital diaphragmatic hernia. Arch Dis Child. Jun 15 2009;[Medline].

  12. Mitanchez D. [Neonatal prognosis of congenital diaphragmatic hernia.]. Arch Pediatr. Jun 2009;16(6):888-90. [Medline].

  13. [Guideline] Maisch B, Seferovic PM, Ristic AD, et al. Guidelines on the diagnosis and management of pericardial diseases. European Society of Cardiology. 2004.

  14. Albanese CT, Lopoo J, Goldstein RB, et al. Fetal liver position and perinatal outcome for congenital diaphragmatic hernia. Prenat Diagn. Nov 1998;18(11):1138-42. [Medline].

  15. Bohn DJ, Pearl R, Irish MS, Glick PL. Postnatal management of congenital diaphragmatic hernia. Clin Perinatol. Dec 1996;23(4):843-72. [Medline].

  16. Clark RH, Hardin WD Jr, Hirschl RB, et al. Current surgical management of congenital diaphragmatic hernia: a report from the Congenital Diaphragmatic Hernia Study Group. J Pediatr Surg. Jul 1998;33(7):1004-9. [Medline].

  17. Colvin J, Bower C, Dickinson JE, Sokol J. Outcomes of congenital diaphragmatic hernia: a population-based study in WesternAustralia. Pediatrics. Sep 2005;116(3):e356-63. [Medline][Full Text].

  18. Cortes RA, Keller RL, Townsend T, et al. Survival of severe congenital diaphragmatic hernia has morbid consequences. J Pediatr Surg. Jan 2005;40(1):36-45; discussion 45-6. [Medline].

  19. Finer NN, Tierney A, Etches PC, et al. Congenital diaphragmatic hernia: developing a protocolized approach. J Pediatr Surg. Sep 1998;33(9):1331-7. [Medline].

  20. Garred P, Madsen HO, Balslev U, et al. Susceptibility to HIV infection and progression of AIDS in relation to variant alleles of mannose-binding lectin. Lancet. Jan 25 1997;349(9047):236-40. [Medline].

  21. Kapur P, Holm BA, Irish MS, et al. Tracheal ligation and mechanical ventilation do not improve the antioxidant enzyme status in the lamb model of congenital diaphragmatic hernia. J Pediatr Surg. Feb 1999;34(2):270-2. [Medline].

  22. Kays DW, Langham MR Jr, Ledbetter DJ, Talbert JL. Detrimental effects of standard medical therapy in congenital diaphragmatic hernia. Ann Surg. Sep 1999;230(3):340-8; discussion 348-51. [Medline][Full Text].

  23. Kinsella JP, Parker TA, Ivy DD, Abman SH. Noninvasive delivery of inhaled nitric oxide therapy for late pulmonary hypertensionin newborn infants with congenital diaphragmatic hernia. J Pediatr. Apr 2003;142(4):397-401. [Medline].

  24. Lally KP. Extracorporeal membrane oxygenation in patients with congenital diaphragmatic hernia. Semin Pediatr Surg. Nov 1996;5(4):249-55. [Medline].

  25. Lally KP, Breaux CW Jr. A second course of extracorporeal membrane oxygenation in the neonate-- is there a benefit?. Surgery. Feb 1995;117(2):175-8. [Medline].

  26. Lally KP, Lally PA, Langham MR, et al. Surfactant does not improve survival rate in preterm infants with congenitaldiaphragmatic hernia. J Pediatr Surg. Jun 2004;39(6):829-33. [Medline].

  27. Langham MR Jr, Kays DW, Ledbetter DJ, et al. Congenital diaphragmatic hernia. Epidemiology and outcome. Clin Perinatol. Dec 1996;23(4):671-88. [Medline].

  28. NINOS. Inhaled nitric oxide and hypoxic respiratory failure in infants with congenital diaphragmatic hernia. The Neonatal Inhaled Nitric Oxide Study Group (NINOS). Pediatrics. Jun 1997;99(6):838-45. [Medline][Full Text].

  29. Nobuhara KK, Lund DP, Mitchell J, et al. Long-term outlook for survivors of congenital diaphragmatic hernia. Clin Perinatol. Dec 1996;23(4):873-87. [Medline].

  30. Nobuhara KK, Wilson JM. Pathophysiology of congenital diaphragmatic hernia. Semin Pediatr Surg. Nov 1996;5(4):234-42. [Medline].

  31. O'Toole SJ, Irish MS, Holm BA, Glick PL. Pulmonary vascular abnormalities in congenital diaphragmatic hernia. Clin Perinatol. Dec 1996;23(4):781-94. [Medline].

  32. Reickert CA, Hirschl RB, Atkinson JB, et al. Congenital diaphragmatic hernia survival and use of extracorporeal life support at selected level III nurseries with multimodality support. Surgery. Mar 1998;123(3):305-10. [Medline].

  33. Slavotinek AM. The genetics of congenital diaphragmatic hernia. Semin Perinatol. Apr 2005;29(2):77-85. [Medline].

  34. Stege G, Fenton A, Jaffray B. Nihilism in the 1990s: the true mortality of congenital diaphragmatic hernia. Pediatrics. Sep 2003;112(3 Pt 1):532-5. [Medline][Full Text].

  35. Steinhorn RH, Kriesmer PJ, Green TP, et al. Congenital diaphragmatic hernia in Minnesota. Impact of antenatal diagnosis on survival. Arch Pediatr Adolesc Med. Jun 1994;148(6):626-31. [Medline].

  36. Stolar CJ. What do survivors of congenital diaphragmatic hernia look like when they grow up?. Semin Pediatr Surg. Nov 1996;5(4):275-9. [Medline].

  37. Van Meurs K. Is surfactant therapy beneficial in the treatment of the term newborn infantwith congenital diaphragmatic hernia?. J Pediatr. Sep 2004;145(3):312-6. [Medline].

  38. Weinstein S, Stolar CJ. Newborn surgical emergencies. Congenital diaphragmatic hernia and extracorporeal membrane oxygenation. Pediatr Clin North Am. Dec 1993;40(6):1315-33. [Medline].

  39. Wilcox DT, Irish MS, Holm BA, Glick PL. Pulmonary parenchymal abnormalities in congenital diaphragmatic hernia. Clin Perinatol. Dec 1996;23(4):771-9. [Medline].

  40. Wilson JM, Lund DP, Lillehei CW, Vacanti JP. Congenital diaphragmatic hernia--a tale of two cities: the Boston experience. J Pediatr Surg. - Lillehei CW;32(3):401-5. [Medline].

Keywords

congenital diaphragmatic hernia, CDH, Bochdalek hernia, posterolateral Bochdalek hernia, the anterior Morgagni hernia, hiatus hernia, pulmonary hypoplasia, pulmonary hypertension, cardiac maldevelopment, ventricular hypoplasia, Cornelia de Lange syndrome, Fryns syndrome, cleft lip, cleft palate, pneumothorax, polyhydramnios, respiratory distress, cyanosis, trisomy 13, trisomy 18, trisomy 21, Turner syndrome, Pallister-Killian syndrome, aortic stenosis, treatment, diagnosis

Contributor Information and Disclosures

Author

Robin H Steinhorn, MD, Raymond and Hazel Speck Berry Professor of Pediatrics, Division Head of Neonatology, Associate Chair of Pediatrics, Northwestern University School of Medicine
Robin H Steinhorn, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American Heart Association, American Pediatric Society, American Thoracic Society, and Society for Pediatric Research
Disclosure: Ikaria (INO Therapeutics) Consulting fee Consulting

Medical Editor

David N Sheftel, MD, Director, Division of Neonatology, Clinical Associate Professor, Department of Pediatrics, Lutheran General Children's Hospital of Park Ridge, Chicago Medical School
David N Sheftel, MD is a member of the following medical societies: American Academy for Cerebral Palsy and Developmental Medicine and American Academy of Pediatrics
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from financial planner; Avanir Pharma Stock Investment from financial planner ; WebMD Salary and stock Employment and investment from financial planner

Managing Editor

Arun K Pramanik, MD, MBBS, Professor of Pediatrics, Director of Neonatal Fellowship, Louisiana State University Health Sciences Center
Arun K Pramanik, MD, MBBS is a member of the following medical societies: American Academy of Pediatrics, American Thoracic Society, National Perinatal Association, and Southern Society for Pediatric Research
Disclosure: Nothing to disclose.

CME Editor

Carol L Wagner, MD, Professor of Pediatrics, Medical University of South Carolina
Carol L Wagner, MD is a member of the following medical societies: American Academy of Pediatrics, American Chemical Society, American Medical Women's Association, American Public Health Association, American Society for Bone and Mineral Research, American Society for Clinical Nutrition, Massachusetts Medical Society, National Perinatal Association, and Society for Pediatric Research
Disclosure: Nothing to disclose.

Chief Editor

Ted Rosenkrantz, MD, Professor, Departments of Pediatrics and Obstetrics/Gynecology, Division of Neonatal-Perinatal Medicine, University of Connecticut School of Medicine
Ted Rosenkrantz, MD is a member of the following medical societies: American Academy of Pediatrics, American Medical Association, American Pediatric Society, Connecticut State Medical Society, Eastern Society for Pediatric Research, and Society for Pediatric Research
Disclosure: Nothing to disclose.

 
 
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