Serial sonographic findings in a fetus with congenital hiatal hernia.
A continuum of prenatal findings in a case of hiatal hernia is described. Second-trimester scans showed absence of fetal stomach and polyhydramnios suggestive of esophageal atresia. Third-trimester scans revealed a dilated tubular structure in the thoracic cavity with intermittent visualization of an intra-abdominal small stomach. A diagnosis of hiatal hernia was entertained. After birth, the diagnosis of a dilated esophagus with the stomach herniated into the thoracic cavity through a very lax esophageal hiatus was confirmed and the baby underwent corrective surgery.
Ogunyemi
D
D
Morristown Hospital, Morristown, New Jersey and King/Drew Medical Center, UCLA School of Medicine, Los Angeles, California, USA. doogunye@cdrewu.edu
D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006551:Hernia, Hiatal / Q000151:congenital* / Q000000981:diagnostic imaging*; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D016216:Ultrasonography, Prenatal