Right diaphragmatic hernia and hydrops: is it always fatal?

Shojai, R.; Gire, Catherine; Chaumoître, Kathia; Merrot, Thierry; Panuel, M.; Boubli, L.; D’ercole, C.

doi:10.1002/uog.1757

Cited by 6 publications

(3 citation statements)

References 6 publications

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“…In our case, the neonate had severe hydrops fetalis with mild anaemia, probably because the cause of the ascites wasn't the anaemia but the CDE. Although the nature of this pathology is not well known, the pathogenesis of hydrops in fetuses with malformations like CDH is considered secondary to the obstruction of the superior and inferior venae cavae in addition to the hepatic venous returns (Sydorak et al, 2002;Shojai et al, 2004;Rossi et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Parvovirus B19 Intrauterine Infection and Eventration of the Diaphragm

et al. 2022

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Parvovirus B19 infection in pregnancy may have a poor outcome for the fetus. Ocular anomalies, brain damage with hydrocephalus and central nervous system (CNS) scarring, cleft lip and hypospadias, as well myocarditis and congenital heart disease have been reported. We present a case of a preterm female neonate born with ascites, hydrothorax and congenital diaphragmatic eventration (CDE), with a prenatal diagnosis of congenital diaphragmatic hernia (CDH). The neonate was born prematurely at 32 weeks gestation with caesarean section due to a previous caesarean delivery. She was immediately intubated in the delivery room, transferred in the Neonatal Intensive Care Unit (NICU) and supported with high frequency oscillatory ventilation (HFOV). The diagnosis of CDH was sonographically estimated from the 20th week of gestation and surgical correction was decided. During surgery CDE was diagnosed instead of CDH and despite postoperatively care the neonate developed disseminated intravascular coagulation and finally died in the 40th hour of life. Along with the identification of parvovirus B19 in the pleural fluid by PCR, the biopsy of the diaphragm revealed connective tissue, full of vasculature and absence muscle tissue. Although only cytomegalovirus, rubella, and toxoplasmosis were considered to be associated with CDE, parvovirus B19 might also be related to this congenital diaphragmatic malformation. In CDE, the function of the lungs can be compromised as a consequence of the compression applied by the abdominal organs. The neonatologists should include this condition in their differential diagnosis for a more direct and effective management.

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Section: Discussionmentioning

confidence: 99%

Parvovirus B19 Intrauterine Infection and Eventration of the Diaphragm

et al. 2022

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“…Further, the existing literature on this topic is confounded by the use of fetal intervention in utero. 42,44 Only two thoracoamniotic shunts were performed in our cohort, and both were done in fetuses with right-sided CDH and hydrops fetalis. 45…”

Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis of Congenital Diaphragmatic Hernia: Does Laterality Predict Perinatal Outcomes?

et al. 2018

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“…Using this explanation, right-sided CDH would cause hydrops more frequently because liver herniation may obstruct venous return more. 17 For left-sided CDH, intra-abdominal organ herniation likely changes the confi guration of the venous structure. Therefore, the cause of hydrops fetalis in our case was probably the same mechanism as left-sided CDH.…”

Section: Case Reportmentioning

confidence: 99%

Three-dimensional sonographic features of a fetus with Wolf-Hirschhorn syndrome

et al. 2008

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We present a case of fetal Wolf-Hirschhorn syndrome diagnosed by conventional two-dimensional and three-dimensional ultrasonography. Conventional two-dimensional ultrasonography revealed a diaphragmatic hernia, nuchal edema, and suspected hypospadias. Three-dimensional ultrasonography clearly showed a flattening of the face, a high forehead, a broad nasal bridge continuing to the forehead, exophthalmos, and micrognathia (resembling the appearance of a Greek warrior helmet), but conventional two-dimensional ultrasonography did not depict these findings. Prenatal chromosomal analysis confirmed the diagnosis of Wolf-Hirschhorn syndrome [46XY, del(4)(p15.2)]. Here we demonstrate how three-dimensional ultrasonography provided a novel visual depiction of the facial dysmorphism, which helped substantially in prenatal counseling.

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Right diaphragmatic hernia and hydrops: is it always fatal?

Cited by 6 publications

References 6 publications

Parvovirus B19 Intrauterine Infection and Eventration of the Diaphragm

Parvovirus B19 Intrauterine Infection and Eventration of the Diaphragm

Prenatal Diagnosis of Congenital Diaphragmatic Hernia: Does Laterality Predict Perinatal Outcomes?

Three-dimensional sonographic features of a fetus with Wolf-Hirschhorn syndrome

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