2006-03-28-15 Diaphragmatic hernia © Vavilala www.thefetus.net/
Diaphragmatic hernia
India
This is a 28-year-old-primigravida referred to our service at 36 weeks. A left-sided diaphragmatic hernia with herniation of stomach, small and large bowel was diagnosed. Some cardiac anomalies were suspected including dextroposition, ventricular septal defect, overriding of aorta, severe pulmonary stenosis (Tetralogy of Fallot). There was also a polyhydramnios. The parents were counseled.
A spontaneous vaginal delivery occurred at 38 weeks (2.780g, male, Apgar 3/7). The baby died two hours later. The postnatal karyotype was normal. The anatomopathological study revealed:
Note the absence of the stomach in the abdominal section


The ventricular septal defect and the stomach close to the heart






Babygram. Note bowel loops in the chest



Note the lung hypoplasia






Cardiac dissection: Note the pulmonary atresia with ventricular septal defect (thin pulmonary artery)



