|Title:||Isolated right diaphragmatic eventration mimicking congenital heart disease in utero||Authors:||Yang C.-K.
STEVEN SHINN-FORNG PENG
|Issue Date:||2005||Journal Volume:||25||Journal Issue:||10||Start page/Pages:||872-875||Source:||Prenatal Diagnosis||Abstract:||
Diaphragmatic eventration is the upward displacement of the abdominal viscera secondary to a thin or paralytic diaphragm. Its clinical presentations and radiographic pictures are similar to those of diaphragmatic hernia. Prenatal diagnosis of diaphragmatic eventration is extremely rare. A pregnant woman was referred to us because of abnormal cardiac findings noted at 20 weeks of gestation. A diagnosis of partial anomalous pulmonary venous connection was made on the basis of our findings of right atrial enlargement with an abnormal vascular channel drainage to it. The infant was born via cesarean section at 40 weeks and developed complications of cyanosis immediately after birth. Postnatal imaging studies and surgical findings disclosed right side diaphragmatic eventration with liver and associated vasculature upward displacement into the right pleural cavity. The cardiac structure was otherwise normal. We conclude that when an abnormal vessel tracing and unexplainable cardiac chamber asymmetry is encountered, diaphragmatic eventration should be considered as one of the differential diagnoses. Correct recognition and transferral to the hospital for neonatal assistance may lead to timely and appropriate management of these fetuses. Copyright ? 2005 John Wiley & Sons, Ltd.
|ISSN:||0197-3851||DOI:||10.1002/pd.1281||SDG/Keyword:||article; case report; cesarean section; clinical feature; congenital heart disease; cyanosis; diagnostic accuracy; diagnostic imaging; diaphragm eventration; diaphragm hernia; diaphragm paralysis; differential diagnosis; female; fetus; heart atrium enlargement; human; infant; newborn; newborn care; patient referral; patient transport; pregnancy; prenatal diagnosis; prenatal disorder; priority journal; pulmonary vein malformation; radiodiagnosis; Adult; Cesarean Section; Diagnosis, Differential; Diaphragmatic Eventration; Female; Gestational Age; Heart Defects, Congenital; Humans; Infant, Newborn; Intensive Care, Neonatal; Pregnancy; Prenatal Diagnosis; Ultrasonography, Prenatal
|Appears in Collections:||醫學系|
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