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Hernia - diaphragmatic; Congenital hernia of the diaphragm
Severe breathing difficulty almost always develops shortly after the baby is born, because of ineffective movement of the diaphragm and crowding of the lung tissue, which causes collapse.
Other symptoms include:
The pregnant mother may have excessive amounts of amniotic fluid. Fetal ultrasound may show abdominal contents in the chest cavity.
Examination of the infant shows:
A chest x-ray may show abdominal organs in chest cavity.
Ehrlich PF, Coran AG. Diaphragmatic hernia. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 101.
Keijzer R, Puri P. Congenital diaphragmatic hernia. Semin Pediatr Surg 2010 Aug; 19(3): 180-5.
Puri P, Nakazawa N. Congenital diaphragmatic hernia. In: Puri P, Hollworth M, eds. Pediatric surgery: diagnosis and management. Springer, 2009: chapter 31.
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