Coincidence of Congenital Diaphragmatic Hernia and Arnold Chiari II Malformation: A Case Report (original) (raw)
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Arnold Chiari Malformation Type-2, fetal magnetic resonance imaging findings in a case
Aegean Journal of Obstetrics and Gynecology, 2020
Arnold-Chiari malformation (ACM) is one of the factors that cause death in newborns and infants. Ultrasound (US) is the preferred imaging method for pregnant patients. For the diagnosis of ACM II in the developing fetus, direct and indirect sonographic findings must be fully known. However, Magnetic Resonance Imaging (MRI) is increasingly used in patients whose sonographic diagnosis is uncertain. Fetal MRI is performed for patients such as central nervous system (CNS) abnormalities, neural tube defects, congenital diaphragmatic hernia and masses obstructing the airway that are considered fetal surgery. In this case report, ACM-II detected at 23 weeks 4 days of gestation was presented. The role of prenatal MRI in the recognition of these features, malformation and prognostic value was discussed.
American Journal of Medical Genetics, 2001
We present a retrospective study of the frequency and type of associated malformations and chromosomal anomalies in 42 consecutive cases of congenital diaphragmatic hernia (CDH) diagnosed in utero during the period from 1985 to 1999. In 26% (11/42) of the cases, associated malformations were detected. Chromosomal anomalies were present in 9.5% (4/42). In this group of 15 cases (15/42 ¼ 36%) with associated malformations or chromosomal anomalies, all cases, except one, had prenatal sonographic evidence of additional problems. The survival rate of fetuses with CDH and associated malformations or chromosomal anomalies was poor (1/15). Therefore, the overall survival rate of in utero-diagnosed CDH was only 31% (13/42), while isolated left CDH had a survival rate of 52% (12/23). The in utero diagnosis of CDH implies a detailed echographic examination to exclude additional anomalies. The risk for a syndromal or chromosomal malformation becomes small when no additional anomalies are seen on ultrasound. ß
P02.43: Congenital diaphragmatic hernia diagnosed in the first trimester
Ultrasound in Obstetrics & Gynecology, 2006
decided to follow up the pregnancy during two weeks and perform the cordocentesis in this time, karyotópe was normal. At 26 weeks we found progressive changes in fetal anatomy: heart herniation became larger, left lobe of liver began to protruse, the absence of the sternum and cartilaginous parts of the ribs was confirmed. Patient was offered pregnancy termination because of the impossibility of surgical correction. Radiography, CT and morphology of abortus confirmed ultrasound diagnosis of isolated absence of the sternum and cartilaginous parts of the ribs.
Two Cases of Arnold-Chiari Malformation with Respiratory Failure
European Journal of Case Reports in Internal Medicine
Arnold-Chiari malformation is defined as downward displacement of the brainstem and cerebellum through the foramen magnum. It has different clinical presentations and four subtypes. It is known that downward migration of posterior fossa components through the foramen magnum and associated lower cranial nerve palsy and brainstem compression can cause respiratory failure. Acute respiratory failure could mark the onset of the disease. Posterior fossa decompression performed to treat primary disease can improve the central sleep abnormalities. As respiratory failure is rarely seen, this paper presents two cases of Arnold-Chiari malformation with respiratory failure.
Associated malformations in delayed presentation of congenital diaphragmatic hernia
Journal of Pediatric Surgery, 2004
Background/Purpose: Delayed presentation of congenital diaphragmatic hernia (CDH) has been considered rare, and clinical manifestations differ from the more common newborn entity. Associated malformations in late-appearing CDH have been reported in a few patients. The authors reviewed their clinical experience to catalogue the frequency and clinical importance of associated malformations in patients with late-presenting CDH.
Congenital Diaphragmatic Hernia Associated With Uncommon Abnormalities
International Archives of Medicine, 2017
Congenital diaphragmatic hernia is a poor formation of the diaphragm characterized by the presence of an intestinal malrotation, It is related to abnormal position of the intestine in the thorax. This case report a stillborn at 32 weeks, that was observe anatomical abnormalities associated with congenital diaphragmatic hernia, which occurred in the left antero-posterior region, such as intestinal malrotation, hepatomegaly and nephromegaly, with the presence of a hernial ring that occupied 80 % of the left side of the diaphragm, besides a hypertrophied heart, deviated to the right, bilateral pulmonary hypotrophy. This case illustrates a rare case of diaphragmatic hernia with intestinal changes of clinical and surgical importance.
Congenital diaphragmatic hernia: a case report
The Medical journal of Malaysia, 1973
The article is a case report of a 20 years old pregnant woman that, at her first obstetrical exam, at 29 weeks of gestation was diagnosed with CDH with severe left side lung hypoplasia, mediastinal shift on the right side and a compressed right lung. At 39 weeks of gestation, by caesarian section, a 3300 grams female baby was born with an APGAR score of 8. The reconstructive surgery, thanks to a stable fetal status on mechanical ventilator, could be made 2 days later and it revealed a rare case of Bochdalek CDH in a pleuroperitoneal membrane and multiple accessory spleen. After 3 days of good postoperative status an episode of severe dyspnea revealed a rare complication, a postoperative hiatal hernia with the whole stomach into the thorax. A second successful reconstructive surgery was made in emergency and the baby was discharged 2 weeks later. CDH remains one of the most challenging topics of perinatology and neonatal surgery. Its mechanisms are still to be unveiled but the severe lesions, especially of the lungs require the full implication of a mixt team of highly skilled doctors, in order to increase the very low survival rate (around 40 percent in most studies). This, together with the very low incidence (1 CDH in every 2500 births) and a 10 percent incidence of Bochdalek CDH with sac in all CDH cases, make the background of a solid-base protocols of management extremely difficult. Therefore this should be a hot topic for researchers in the future.
Congenital Diaphragmatic Hernia: The Perinatalogist's Perspective
Pediatrics in Review, 1999
After completing this article, readers should be able to: 1. Describe the incidence of congenital diaphragmatic hernia (CDH). 2. Delineate what percent of all CDHs occur on the left hemithorax and what percent are associated with the presence of other malformations. 3. Describe the mortality rate for prenatally diagnosed CDH and what factors affect the presence of associated malformations and chromosomal defects and are the major determinants of mortality. 4. Describe optimal prenatal counseling for a woman carrying a fetus who has CDH.