title: Radiological diagnosis of congenital diaphragmatic hernia in 17th century Korean mummy.
abstract: Congenital diaphragmatic hernia (CDH) is a birth defect of the diaphragm resulting in pulmonary sequelae that threaten the lives of infants. In computed tomography (CT) images of a 17th century middle-aged male mummy (the Andong mummy), we observed that the abdominal contents had protruded into the right thoracic cavity through the diaphragmatic defect, accompanied by a mediastinal shift to the left. On autopsy, the defect in the right posterolateral aspect of the diaphragm was reconfirmed, as was the herniation of the abdominal organs. The herniated contents included the right lobe of the liver, the pyloric part of the stomach, a part of the greater omentum, and the right colic flexure connecting the superior part of the ascending colon and the right part of the transverse colon. Taking our CT and autopsy results together, this case was diagnosed as the Bochdalek-type CDH. Herein we make the first ever report of a CT-assisted diagnosis of a pre-modern historical case of CDH. Our results show the promising utility of this modality in investigations of mummified human remains archaeologically obtained.
authors.affiliation: Department of Anatomy, Ewha Womans University School of Medicine, Seoul, Korea.
authors.forename: Yi-Suk
authors.initials: YS
authors.lastname: Kim
authors.affiliation: Department of Radiology, Seoul National University Hospital, Bundang, Korea.
authors.forename: In Sun
authors.initials: IS
authors.lastname: Lee
authors.affiliation: Department of Anatomy, Ewha Womans University School of Medicine, Seoul, Korea.
authors.forename: Go-Un
authors.initials: GU
authors.lastname: Jung
authors.affiliation: Department of Anatomy, Dankook University College of Medicine, Chonan, Korea.
authors.forename: Myeung Ju
authors.initials: MJ
authors.lastname: Kim
authors.affiliation: Department of Anatomy, Seoul National University College of Medicine, Seoul, Korea; Institute of Forensic Science, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Chang Seok
authors.initials: CS
authors.lastname: Oh
authors.affiliation: Department of Diagnostic Radiology, Dankook University College of Medicine, Chonan, Korea.
authors.forename: Dong Su
authors.initials: DS
authors.lastname: Yoo
authors.affiliation: Department of Anatomy, Seoul National University College of Medicine, Seoul, Korea; Institute of Forensic Science, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Won-Joon
authors.initials: WJ
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Asan Medical Center, Seoul, Korea.
authors.forename: Eunju
authors.initials: E
authors.lastname: Lee
authors.affiliation: Dongguk Institute of Cultural Properties, Daegu, Korea.
authors.forename: Soon Chul
authors.initials: SC
authors.lastname: Cha
authors.affiliation: Department of Anatomy, Seoul National University College of Medicine, Seoul, Korea; Institute of Forensic Science, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Dong Hoon
authors.initials: DH
authors.lastname: Shin
mesh_terms: D001344:Autopsy; D065630:Hernias, Diaphragmatic, Congenital / Q000000981:diagnostic imaging* / Q000473:pathology; D049670:History, 17th Century; D006801:Humans; D008297:Male; D008875:Middle Aged; D009106:Mummies / Q000000981:diagnostic imaging*; D056910:Republic of Korea; D014057:Tomography, X-Ray Computed