We report on two cases of isolated right-sided congenital diaphragmatic hernia (CDH) in which the condition was first suspected due to ultrasound visualization of a horizontal orientation of the fetal stomach in the abdomen. In the first case, a 38-year-old woman, gravida 2 para 1, attended the ultrasound department of Valduce Hospital, Como at 13 weeks’ gestation for a first-trimester scan. Fetal nuchal translucency thickness and anatomy appeared normal; however, an abnormal horizontal orientation of the fetal stomach was noted (Figure 1). At 20 weeks’ gestation, a massive protrusion of the liver into the fetal chest was documented, leading to the diagnosis of isolated right-sided CDH. Moderate lung hypoplasia was demonstrated (observed to expected lungto- head ratio was 41%, according to the longest diameter method)1. Antenatal findings were confirmed after birth and neonatal death occurred soon after delivery.
Horizontal stomach: a new sonographic clue to the antenatal diagnosis of right-sided congenital diaphragmatic hernia / Conturso R;Giorgetta F;Bellussi F;Youssef A;Tenore A;Pilu G;Rizzo N;Ghi T. - In: ULTRASOUND IN OBSTETRICS & GYNECOLOGY. - ISSN 0960-7692. - STAMPA. - 41:(2013), pp. 340-342. [10.1002/uog.12283]
Horizontal stomach: a new sonographic clue to the antenatal diagnosis of right-sided congenital diaphragmatic hernia.
Bellussi F;YOUSSEF, ALY MOHAMED ALAAELDIN KAMALELDIN ALY;PILU, GIANLUIGI;RIZZO, NICOLA;GHI, TULLIO
2013
Abstract
We report on two cases of isolated right-sided congenital diaphragmatic hernia (CDH) in which the condition was first suspected due to ultrasound visualization of a horizontal orientation of the fetal stomach in the abdomen. In the first case, a 38-year-old woman, gravida 2 para 1, attended the ultrasound department of Valduce Hospital, Como at 13 weeks’ gestation for a first-trimester scan. Fetal nuchal translucency thickness and anatomy appeared normal; however, an abnormal horizontal orientation of the fetal stomach was noted (Figure 1). At 20 weeks’ gestation, a massive protrusion of the liver into the fetal chest was documented, leading to the diagnosis of isolated right-sided CDH. Moderate lung hypoplasia was demonstrated (observed to expected lungto- head ratio was 41%, according to the longest diameter method)1. Antenatal findings were confirmed after birth and neonatal death occurred soon after delivery.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.