Virtual Pediatric Hospital(tm) : A digital library of pediatric information

Home | Search | About Us | FAQ | Reviews | Contact Us
Follow us on Twitter @pedseducationTwitter icon and @pedsimagingTwitter icon

Additional pediatric resources: SearchingPediatrics.com | PediatricEducation.org Facebook iconTwitter iconRSS icon | GeneralPediatrics.com | Pediatric Commons


Virtual Pediatric Hospital: Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology: Case 11

Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology

Case 11

Michael P. D'Alessandro, M.D.,
Steven J. Fishman, M.D.,
Deborah E. Schofield, M.D.

Peer Review Status: Internally Peer Reviewed
Chief Complaint:
Thirty month old female with incidentally noted loops of bowel in the chest.

Clinical History:
This patient was a two and a half year old female who was recently in a motor vehicle accident. At that time, she was incidentally noted to have bowel behind the sternum on a chest film. Upon further questioning, the child was noted to have a history of epigastric discomfort, especially when laying down to go to bed at night. There was no history of respiratory distress.

Clinical Physical Exam:
Unremarkable

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Morgagni hernia

Imaging Findings:
An outside chest film taken at the time of the accident demonstrated a loop of bowel in the chest, and this was confirmed on repeat films obtained one week later.

icon gifImage 1

icon gificon gifImages 2 and 3

Imaging Differential Diagnosis:
Morgagni hernia.

Operative Findings:
Six weeks later the hernia was fixed electively via an upper midline incision from the xiphoid to several cm above the umbilicus. The transverse colon was herniating through the defect into the retrosternal space. The defect in the diaphragm measured 7 cm in width and 3 cm in depth. The colon was easily reduced into the abdominal cavity and the diaphragmatic defect was then closed.

icon gifImage 4

icon gifImage 5

Pathological Findings:
None

Final Diagnosis:
Diaphragmatic Hernia, Morgagni

Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.

Similar Cases:
Case 8, Case 26

References:
None

Title Page


Follow us on Twitter @pedseducationTwitter icon and @pedsimagingTwitter icon

Additional pediatric resources: SearchingPediatrics.com | PediatricEducation.org Facebook iconTwitter iconRSS icon | GeneralPediatrics.com | Pediatric Commons


Home | Search | About Us | FAQ | Reviews | Contact Us

Virtual Pediatric Hospital is curated by Donna M. D'Alessandro, M.D. [Google+ Profile] and by Michael P. D'Alessandro, M.D.

Please send us comments by filling out our Comment Form.

All contents copyright 1992-2014 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.

"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.

Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.

Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.

The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.

URL: http://www.virtualpediatrichospital.org/

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.