Prenatal sonographic diagnosis of congenital hiatal hernia

Rodrigo Ruano, Alexandra Benachi, Marie Cecile Aubry, Jean Pierre Bernard, Fréderic Hameury, Claire Nihoul-Fekete, Yves Dumez

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Objectives: To report a rare case of congenital hiatal hernia illustrating the importance of its prenatal diagnosis as well as to discuss the prenatal sonographic criteria. Case Report: A case of congenital hiatal hernia was diagnosed by ultrasound at 33 weeks of gestation. After a normal second-trimester morphologic ultrasound examination, a hypoechogenic mass was detected in the posterior mediastinum juxtaposed to the vertebral body and seemed to be in continuity with the intra-abdominal stomach bubble. Congenital hiatal hernia was suspected mainly because of the dynamic position of the stomach during the examination, without mediastinal shift, and normal appearance of the diaphragm on parasagittal sections of the thorax. Postnatal management was planned with no urgency and surgery was successfully performed, confirming the diagnosis. Conclusion: This rare case illustrates the importance of prenatal diagnosis of congenital hiatal hernia for prenatal counseling and postnatal management. The ultrasound criterion for prenatal diagnosis is the presence of a herniated stomach in the posterior mediastinum, sometimes having a dynamic position during examination, with no mediastinal shift associated with normal diaphragm appearance on parasagittal sections of the thorax.

Original languageEnglish (US)
Pages (from-to)26-30
Number of pages5
JournalPrenatal Diagnosis
Volume24
Issue number1
DOIs
StatePublished - Jan 1 2004

Keywords

  • Congenital diaphragmatic hernia
  • Congenital hiatal hernia
  • Prenatal diagnosis
  • Ultrasound

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Genetics(clinical)

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