Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology
The patient was a female diagnosed in utero with a diaphragmatic hernia on prenatal ultrasound. The patient was delivered at full term. She developed respiratory distress at birth requiring placement on a ventilator, that progressively worsened, eventually requiring placement onto extracorporeal membrane oxygenation (ECMO).
Clinical Physical Exam:
The patient had a profound respiratory distress.
Clinical Differential Diagnosis:
Chest film from the first day of life showed complete opacification of the left lung and a right pneumothorax.
Imaging Differential Diagnosis:
The patient underwent an operative repair of her diaphragmatic defect on the seventh day of life. A large defect on the left diaphragm was found which required a 5 x 7 cm Gore-Tex patch to cover.
Follow-up and Prognosis:
Postoperatively the patient did not show any improvement in her respiratory status. On postoperative day 9, the patient was removed from ECMO and ventilatory support and allowed to expire. A post mortem examination was performed.
Post mortem examination showed the left and right lungs to be marked hypoplastic.
Diaphragmatic Hernia, Bochdalek, Left-sided
Case 8, Case 11, Case 17, Case 22
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2018 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.