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EP06.20: Prenatal diagnosis of fetal diaphragmatic eventration, mimicking diaphragmatic hernia
Author(s) -
Cheng H.
Publication year - 2018
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.19865
Subject(s) - medicine , diaphragmatic breathing , diaphragm (acoustics) , diaphragmatic hernia , congenital diaphragmatic hernia , hernia , caesarean section , surgery , apgar score , tachypnea , prenatal diagnosis , gestational age , fetus , pregnancy , anesthesia , tachycardia , pathology , physics , alternative medicine , biology , acoustics , loudspeaker , genetics
viscera into the chest, causing serious pulmonary and cardiac complications. The congenital diaphragmatic hernia (CDH) is classified according to the location of the protrusion, including in hiatal hernia, Morgagni-Larrey hernia, and Bochdaleck hernia as results of inadequate obliteration of the lumbar elements in the pleuroperitoneal area, during the eighth and tenth week of intrauterine development. We investigating a full-term pregnant woman complained about water broke and being diagnosed as congenital diaphragmatic hernia from fetomaternal ultrasound. Later, patient was underwent Caesarean section due to PROM, low pelvic score, and oligohydramnios with amniotic fluid index 1. A baby boy was born: weight 3200 gram with AS 1/3/4, then was directly intubated by the perinatologist as early neonatal resuscitation for congenital diaphragmatic hernia neonates. Due to limited facility of oxygen supply, the baby’s breathing was connected to HFO between 10 minutes. Later, the baby did not survive the early 2 days due to fail of breathing in stabilisation and preparation for diaphragm correction. We also investigated that there was decrease of vitamin A in mother’s serum as risk factor on diaphragm’s development in utero.