Incarcerated Congenital Diaphragmatic Hernia mimicking Intrathoracic Mass

Devki Nandan, Amlin Shukla, Saji Vargheese, Singhania Munni


Congenital diaphragmatic hernia (CDH) occurs when intra-abdominal contents herniate into the thoracic cavity through a defect in the diaphragm as a result of maldevelopment of fetal organs. It can be diagnosed in antenatal period with help of ultrasonography. Postnatally it presents soon after birth as respiratory distress along with a scaphoid abdomen. Radiological findings in a chest skiagram consist of bowel gas shadows in thoracic fields. We report here a case in which these Pathognomonic features were not present making the diagnosis difficult. Repeated X ray chest films showed persistence of intrathoracic mass as no bowel shadows were visible. A CT scan with contrast of the chest was required to confirm the diagnosis later on.


Diaphragmatic hernia, intrathoracic mass, opaque hemi thorax, atypical radiological presentation hernia

Full Text:



BR Pober, MK Russell, KG Ackerman In: Congenital Diaphragmatic Hernia Overview. RA Pagon, MP Adam, TD Bird, CR Dolan, CT Fong, RJH Smith, K Stephens, SourceGeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2014. 2006 Feb 01 [updated 2010 Mar 16].

Y S Kadian, N K Rattan, M Verma, and P Kajal Congenital diaphragmatic hernia: Misdiagnosis in adolescence J Indian Assoc Pediatr Surg.; 14(1): 31–33, 2009 Jan-Mar.

M. Singh Respiratory surgical emergencies. In: M Singh (Ed): Care of the newborn, 7th ed. Sagar Publications: New Delhi; pp 411, 2010.

V Donoghue.Neonatal gastrointestinal tract. In: H Carty, F Brunelle, eds. Imaging children. New. York, NY: Churchill Livingstone, pp. 250–260 1994.

E Garne, M Haeusler, I Barisic, R Gjergja, C Stoll, M Clementi; Euroscan Study Group Congenital diaphragmatic hernia: evaluation of prenatal diagnosis in 20 European regions. Ultrasound Obstet Gynecol., 19(4):329-33, 2002 Apr.

AM Nadroo, R Levshina, A Tugertimur, M Gudavalli, K Raziuddin. Congenital diaphragmatic hernia: atypical presentation. J Perinat Med, 27(4):276-8, 1999.



  • There are currently no refbacks.

Copyright (c) 2015 Devki Nandan, Amlin Shukla, Saji Vargheese, Singhania Munni

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.