Erschienen in:
01.09.2012 | Case Report
Multidetector CT of right-sided congenital diaphragmatic hernia associated with hepatopulmonary fusion in a newborn
verfasst von:
Luc Breysem, Sophie Vanhaesebrouck, Marc Gewillig, Steven Dymarkowski, Maria-Helena Smet
Erschienen in:
Pediatric Radiology
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Ausgabe 9/2012
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Abstract
We present a neonate with a complex congenital cardiopathy and a right-sided diaphragmatic hernia complicated with hepatopulmonary fusion. Radiography, abdominal US and multidetector CT (MDCT) demonstrated right-sided lung hypoplasia and liver herniation. In addition, MDCT angiography showed abnormal pulmonary vascular anatomy. At surgery, a right-sided diaphragmatic hernia with a partially herniated liver and hepatopulmonary fusion was confirmed. There was no aberrant systemic vascular supply towards the lower lobe, as seen in extralobar sequestration. MDCT angiography of the chest and upper abdomen with optimal enhancement and reconstruction of the pulmonary and hepatic vasculature can demonstrate associated anomalies in cases of suspected primary or secondary right lung hypoplasia.