Left-Sided Congenital Diaphragmatic Hernia with Multiple Congenital Cardiac Anomalies, Hernia Sac, and Microscopic Hepatic Heterotopia: A Case Report

Congenital diaphragmatic hernia is a common congenital anomaly of uncertain etiology. Its association with multiple congenital anomalies in various organs is well recognized and antenatal radiological evidence of congenital diaphragmatic hernia warrants thorough evaluation to detect other anomalies, some of which can be life threatening. Rarely, heterotopic hepatic tissue is identified in the hernia, a rare pathological finding, exhibiting more than one macroscopic and microscopic characteristics, and always associated with cardiac congenital anomalies. Herein, we report a case of left-sided microscopic heterotopic hepatic tissue in a congenital diaphragmatic hernia in an infant with multiple cardiac congenital anomalies, but with preserved pericardium.

Download Full-text

Postmortem Findings and Clinicopathological Correlation in Congenital Diaphragmatic Hernia

Pediatric and Developmental Pathology ◽

10.1007/s10024-004-1118-2 ◽

2004 ◽

Vol 7 (5) ◽

pp. 459-467 ◽

Cited By ~ 9

Author(s):

Marieke F. van Dooren ◽

Natascha N.T. Goemaere ◽

Annelies de Klein ◽

Dick Tibboel ◽

Ronald R. de Krijger

Keyword(s):

Congenital Diaphragmatic Hernia ◽

Digestive Tract ◽

Diaphragmatic Hernia ◽

Congenital Anomalies ◽

Postmortem Examination ◽

Cardiac Anomaly ◽

Urogenital System ◽

Cardiac Defects ◽

Life Threatening ◽

Additional Value

Congenital diaphragmatic hernia (CDH) is a severe life-threatening disease, with an incidence of 3 per 10,000 births, that can occur as an isolated defect or in combination with other congenital anomalies. We reviewed the clinical and autopsy reports of 39 subjects with CDH that were autopsied between 1988 and 2001 to determine whether autopsy had an additional value in the detection of malformations in patients with CDH. We compared the clinical data (including echographic results in some patients) concerning congenital anomalies with the autopsy results. Before autopsy, 6 structural cardiac defects, 3 anomalies of the urogenital system, and 3 anomalies of the digestive tract were observed in 10 patients (clinical and echographic results). However, with postmortem examination, only 4 structural cardiac defects were confirmed, 2 cases showed another cardiac anomaly, and 7 new cardiac defects were found. In the urogenital system, 1 anomaly was confirmed, 1 was not confirmed, and 1 showed another malformation. In addition, in 7 patients new urogenital malformations were found after autopsy. In the digestive tract, all 3 malformations were confirmed, but we found 3 new malformations after postmortem examination. All clinically established dysmorphic features and anomalies of the skeletal system and central nervous system were confirmed by autopsy, and no additional malformations were found. We concluded that postmortem examination has an important additional role in the detection of structural cardiac defects and malformations of the urogenital system and digestive tract in children with CDH.

Download Full-text

Congenital Bronchobiliary Fistula in Association with Multiple Other Congenital Anomalies: Case Report

Turkish Association of Pediatric Surgeons ◽

10.5222/jtaps.2021.82712 ◽

2021 ◽

Author(s):

Mirzaman Hüseyinov ◽

Ali Ekber Hakalmaz

Keyword(s):

Case Report ◽

Congenital Diaphragmatic Hernia ◽

Biliary Tract ◽

Diaphragmatic Hernia ◽

Congenital Anomalies ◽

Tracheobronchial Tree ◽

Fistulous Opening ◽

Multiple Congenital Anomalies ◽

Bronchobiliary Fistula ◽

Right Diaphragmatic Hernia

Congenital bronchobiliary fistula (CBBF) is a rare anomaly in which a fistulous opening exists between the biliary tract and the tracheobronchial tree. CBBF may be accompanied by many congenital anomalies, with biliary system anomalies being the most common. CBBF was also reported to be associated with esophageal atresia in one case and right diaphragmatic hernia in another case. However, as far as we have known, CBBF case accompanied by multiple congenital anomalies has not been reported previously. In this article, we firstly present a case of a neonatal CBBF, incidentally diagnosed intraoperatively, accompanied by multiple congenital anomalies, including congenital diaphragmatic hernia. Secondly, we present our conclusions and updates about CBBF based on what we have learned from both our case and the literature.

Download Full-text

Light at the end of the tunnel: a technical note on thoracoscopic repair of congenital diaphragmatic hernia

Surgical Techniques Development ◽

10.4081/std.2011.e6 ◽

2011 ◽

Vol 1 (1) ◽

pp. 6

Author(s):

Claire R. Jackson ◽

Gordan A. MacKinlay ◽

Merrill McHoney

Keyword(s):

Congenital Diaphragmatic Hernia ◽

Diaphragmatic Hernia ◽

Postoperative Recovery ◽

Technical Note ◽

Diaphragmatic Defect ◽

Hernia Sac ◽

Thoracoscopic Repair ◽

Technical Learning ◽

Number Of Authors

Thoracoscopic repair of congenital diaphragmatic hernia (CDH) has been described by a number of authors and is increasingly widely practiced. We present a technical learning point. CDH is associated with the presence of a hernia sac in around 20% of all cases. In this case the presence of a ruptured hernia sac complicated the thoracoscopic repair of a left sided CDH, as it was initially difficult to recognise. Once the anatomy was clarified the repair was satisfactorily completed and the child made a rapid postoperative recovery. This technical note is to warn other surgeons that a tunnel like appearance of the diaphragmatic defect may in fact be due to the presence of a torn hernia sac, which requires excision before closure of the defect.

Download Full-text

Left Side Congenital Diaphragmatic Hernia with Sac and Broncho-Pulmonary Sequestration: A Report to Reinforce The Need to Excise the Hernia Sac

Biomedical Journal of Scientific & Technical Research ◽

10.26717/bjstr.2018.06.001367 ◽

2018 ◽

Vol 6 (3) ◽

Author(s):

Shasanka Shekhar Panda

Keyword(s):

Congenital Diaphragmatic Hernia ◽

Diaphragmatic Hernia ◽

Pulmonary Sequestration ◽

Hernia Sac

Download Full-text

Tetralogy of Fallot with congenital diaphragmatic hernia and left lung hypoplasia: assessment of the adequacy of the peripheral pulmonary vascular growth after hernia repair

Cardiology in the Young ◽

10.1017/s104795111100134x ◽

2011 ◽

Vol 22 (2) ◽

pp. 235-238 ◽

Cited By ~ 3

Author(s):

Hong Ju Shin ◽

Won Kyoung Jhang ◽

Tae Jin Yun

Keyword(s):

Congenital Diaphragmatic Hernia ◽

Tetralogy Of Fallot ◽

Diaphragmatic Hernia ◽

Left Lung ◽

Lung Hypoplasia ◽

Vascular Growth ◽

Threatening Condition ◽

Central Pulmonary Artery ◽

Life Threatening ◽

Vascular Beds

AbstractCongenital diaphragmatic hernia is a life-threatening condition frequently associated with various congenital cardiac diseases. In congenital diaphragmatic hernia associated with tetralogy of Fallot, central pulmonary artery size of the affected side may not reflect the capacitance of peripheral pulmonary vascular beds. We report a case of congenital diaphragmatic hernia associated with tetralogy of Fallot, which was repaired after assessing the adequacy of the pulmonary vascular beds by intra-operative pulmonary blood flow study.

Download Full-text