Prenatal diagnosis of right diaphragmatic eventration associated with fetal hydrops

İskender, Cantekin; Tarım, Ebru; Yalçınkaya, Cem

doi:10.1111/j.1447-0756.2011.01831.x

Cited by 4 publications

(2 citation statements)

References 26 publications

(46 reference statements)

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“…In recent times, fetal magnetic resonance imaging (MRI) is being increasingly performed to diagnose and prognosticate these anomalies [3,11]. Literature on antenatal diagnosis of CDE is limited to case reports [6,[12][13][14][15][16] with no previous studies directly assessing the ability of fetal MRI to differentiate CDH and CDE. Moreover, the role of fetal MRI in diagnosing CDE is not clearly established in literature.…”

Section: Introductionmentioning

confidence: 99%

Fetal magnetic resonance imaging in the evaluation of congenital diaphragmatic anomalies

Mahalingam

Babu

Rangasami

et al. 2020

Egypt J Radiol Nucl Med

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Background Congenital abnormalities of the diaphragm cause impairment of lung development and are an important cause of post-natal morbidity and mortality. Congenital diaphragmatic eventration (CDE), a less sinister diaphragmatic anomaly compared to the more common congenital diaphragmatic hernia (CDH), often tends to mimic CDH on prenatal imaging. This study evaluates the role of fetal magnetic resonance imaging (MRI) in differentiating these two entities. Results This was a retrospective study which included fetal MRI studies done in patients with ultrasound diagnosis of fetal diaphragmatic anomaly. MRI exam was performed with a 1.5 T superconducting system with eight-element torso array coil. The images were studied by two radiologists experienced in fetal imaging in consensus. Diagnosis of CDE was made if the dome of the diaphragm was visualized as a thin hypointense line separating the lung from abdominal structures on coronal and sagittal MRI sequences. If this thin hypointense line was not visualized, a diagnosis of CDH was made. The findings were then correlated with autopsy/intra-operative findings/post-natal imaging follow-up. A total of 12 patients were included in the study. In these 12 patients, 13 diaphragmatic abnormalities were diagnosed on MRI (1 fetus had bilateral diaphragmatic anomaly). Of the 13 diaphragmatic anomalies detected, 7 (54%) were CDH and 6 (46%) were CDE. The type of diaphragmatic anomaly was correctly identified on MRI in all except one fetus in which CDE was misdiagnosed as CDH. The Fisher exact test statistic value was 0.0047. The result was significant at p < 0.01. Conclusion Fetal MRI is a useful tool for assessing congenital diaphragmatic anomalies. Visualization of the diaphragm on coronal and sagittal images helps in diagnosis of complete CDE and differentiating it from the more sinister CDH.

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Section: Introductionmentioning

confidence: 99%

Fetal magnetic resonance imaging in the evaluation of congenital diaphragmatic anomalies

Mahalingam

Babu

Rangasami

et al. 2020

Egypt J Radiol Nucl Med

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“…There have been some reports on the antenatal sonographic diagnosis of fetal diaphragmatic eventration. [4][5][6][7][8] However, those sonographic image qualities for diagnosing diaphragmatic eventration were poor. Moreover, the differentiation between congenital diaphragmatic eventration and hernia was very difficult using conventional prenatal sonography.…”

Section: Introductionmentioning

confidence: 99%

HDlive Flow with HDlive Silhouette Mode for Diagnosis of Fetal Diaphragmatic Eventration

Tanaka¹,

Ishibashi²,

Tanaka³

et al. 2009

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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We present our initial experience of using HDlive Flow with the HDlive silhouette mode for diagnosing fetal diaphragmatic eventration in one of a pair of monochorionic diamniotic twin fetuses at 21 weeks and 4 days of gestation. Two-dimensional (2D) sonography suggested abnormal elevation of the right hemidiaphragm. Power Doppler ultrasound revealed upward-deviated right pulmonary and hepatic vessels, which were demarcated by the right hemidiaphragm. HDlive Flow with the HDlive silhouette mode clearly depicted the upward-deviated right pulmonary and hepatic vessels, which were separated by the high position of the right hemidiaphragm. The spatial relationships among the fetal liver, diaphragm, lung, and heart could be clearly recognized using HDlive Flow with the HDlive silhouette mode. MRI also strongly suggested right diaphragmatic eventration at 30 weeks and 4 days of gestation. HDlive Flow with the HDlive silhouette mode might be beneficial as an additional diagnostic tool along with conventional 2D sonography, and it facilitates early differentiation between fetal diaphragmatic eventration and diaphragmatic hernia.

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Fetal Diaphragmatic Eventration: A Case Report

Sallout¹,

Alshebli²,

Sallout

et al. 2021

Journal of Obstetrics and Gynaecology Canada

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Prenatal diagnosis of right diaphragmatic eventration associated with fetal hydrops

Cited by 4 publications

References 26 publications

Fetal magnetic resonance imaging in the evaluation of congenital diaphragmatic anomalies

Fetal magnetic resonance imaging in the evaluation of congenital diaphragmatic anomalies

HDlive Flow with HDlive Silhouette Mode for Diagnosis of Fetal Diaphragmatic Eventration

Fetal Diaphragmatic Eventration: A Case Report

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