Hoshino Yusuke, Arai Junichi
Neonatology, Ibaraki Children's Hospital, Mito, Japan
Neonatology, Ibaraki Children's Hospital, Mito, Japan.
BMJ Case Rep. 2020 Feb 3;13(2):e232813. doi: 10.1136/bcr-2019-232813.
Congenital diaphragmatic eventration (CDE) is always diagnosed by fluoroscopic examination. However, this technique is inappropriate for premature neonates because of risks of transport, hypothermia and ionising radiation. Herein, we describe two cases of premature neonates suspected to have CDE on radiography. We could not perform fluoroscopic examination due to their prematurity status. Therefore, we performed ultrasound examination and succeeded in diagnosing CDE without any risks. Using ultrasound examination, we could evaluate movement and thickness of the diaphragm. We consider this additional information useful for CDE diagnosis. This is the first report on CDE diagnosis using ultrasound examination.
先天性膈膨升(CDE)通常通过荧光透视检查来诊断。然而,由于存在转运风险、体温过低和电离辐射,这种技术不适用于早产儿。在此,我们描述了两例在X线摄影中疑似患有CDE的早产儿病例。由于他们的早产状态,我们无法进行荧光透视检查。因此,我们进行了超声检查,并成功地在无任何风险的情况下诊断出CDE。通过超声检查,我们能够评估膈肌的运动和厚度。我们认为这些额外信息对CDE的诊断有用。这是关于使用超声检查诊断CDE的首例报告。