IMAGE OF THE WEEK

WEEK 5

 

 

   

CONGENITAL DIAPHRAGMATIC HERNIA

(BOCHDALEK HERNIA)

 

Due to failure of the pleuro-peritoneal fold to close

 

90% of all congenital herniae (Morgagni less common)

 

Usually present in the newborn

 

4B’s: Bochdalek, Back, Babies, Big

(VV. 4M’s: Morgagni, Middle, Mature, Minuscule)

RADIOLOGY

Usually (80%) on the left

 

Bowel within the left thoracic cavity

 

Heart and mediastinal structure shifted to the right

 

Abnormal position of the nasogastric tube

 

 

Images prepared by Dr Ian Bickle, Consultant Radiologist, RIPAS Hospital, Brunei Darussalam.

All images are copyrighted and property of RIPAS Hospital.

 

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