Hosokawa Takahiro, Tanami Yutaka, Sato Yumiko, Oguma Eiji, Omata Kanako, Kawashima Hiroshi, Yamada Yoshitake
Department of Radiology, Saitama Children's Medical Center, 1-2 Shintoshin Chuo-ku, Saitama 330-8777, Japan.
Department of Surgery, Saitama Children's Medical Center, 1-2 Shintoshin Chuo-ku, Saitama 330-8777, Japan.
Radiol Case Rep. 2019 Mar 26;14(6):683-686. doi: 10.1016/j.radcr.2019.03.012. eCollection 2019 Jun.
Congenital diaphragmatic hernia (CDH) is one of the most common major congenital anomalies. The presence of a hernia sac is associated with additional benefits in terms of improved neonatal survival. Here, we report a case of CDH with a hernia sac detected via postnatal ultrasonography. Our literature search did not find other cases where CDH with hernia sac was found by postnatal ultrasound in neonates. In prenatal imaging, the diagnosis of CDH with a hernia sac is challenging. In our case, the meniscus of the thymus was clearly noted, and smooth convexity between the hernia contents and thymus was detected. Although evaluation of the presence of a hernia sac with postnatal ultrasonography might be difficult, our findings suggest that a hernia sac could be evaluated with postnatal ultrasonography.
先天性膈疝（CDH）是最常见的主要先天性畸形之一。疝囊的存在与新生儿存活率提高的额外益处相关。在此，我们报告一例通过产后超声检查发现疝囊的CDH病例。我们的文献检索未发现其他新生儿通过产后超声发现有疝囊的CDH病例。在产前影像学检查中，诊断有疝囊的CDH具有挑战性。在我们的病例中，胸腺的半月板清晰可见，并且在疝内容物与胸腺之间检测到平滑的凸面。尽管通过产后超声评估疝囊的存在可能困难，但我们的研究结果表明，产后超声可用于评估疝囊。
