title: Prenatal imaging of a fetus with the rare combination of a right congenital diaphragmatic hernia and a giant omphalocele.
abstract: A co-existing right congenital diaphragmatic hernia and omphalocele is rare. We present images of a fetus diagnosed with this rare combination of anomalies. Early neonatal death occurred immediately after full-term birth due to severe respiratory insufficiency. In this case, disturbance of chest wall development due to the omphalocele rather than the diaphragmatic hernia was considered as the main cause of lung hypoplasia. Our experience suggests that caution should be exercised for severe respiratory insufficiency in a neonate with an omphalocele and diaphragmatic hernia, even in the absence of an intra-thoracic liver, one of the indicators of poor outcome for congenital diaphragmatic hernia.
authors: Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors: Ayasa
authors: A
authors: Nonaka
authors: Nobuhiro
authors: N
authors: Hidaka
authors: Saki
authors: S
authors: Kido
authors: Kotaro
authors: K
authors: Fukushima
authors: Kiyoko
authors: K
authors: Kato
mesh_terms: D000328:Adult; D000013:Congenital Abnormalities / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D006554:Hernia, Umbilical / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D065630:Hernias, Diaphragmatic, Congenital / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011296:Prenatal Diagnosis; D014463:Ultrasonography
keywords: congenital diaphragmatic hernia; lung hypoplasia; omphalocele; prenatal diagnosis