2006-05-01-11 Diaphragmatic hernia © Ruiz www.thefetus.net/
Vicente Jesus Ruiz, MD
Centro de Ecografia, Salta, Argentina
This is a 34-year-old-woman, G4P1A2, at 34 weeks gestation with a diaphragmatic hernia. The baby was born and died immediately. The autopsy confirmed the diaphragmatic hernia. The left hemithorax was occupied by abdominal organs as stomach, colon, appendix, left hepatic lobe, spleen. A karyotype was performed with an abnormal result (45, X0). A Turner"s syndrome was the final diagnosis.
Axial views of the chest showing the left hemithorax occupied by an heterogeneous mass
Note the stomach into the left hemithorax
Note the absence of the stomach in the axial section of the abdomen
Single umbilical artery
Chest radiography immediately after birth: gastric probe into the left hemithorax
Autopsy. Left hemithorax occupied by abdominal organs: stomach, colon, appendix, left hepatic lobe, spleen.