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.