Congenital Diaphragmatic Hernia: From 1 Different Sources
(CDH) herniation of the fetal abdominal organs into the fetal chest, which occurs in one in 2000–5000 live births. This leads to pulmonary *hypoplasia, which is the main cause of the associated high neonatal mortality. The risk of pulmonary hypoplasia is substantially greater where there is herniation of the liver into the thoracic cavity. CDH is commonly associated with additional structural abnormalities (cardiac, neural tube defects, and exomphalos), and the risk of chromosomal abnormality (*aneuploidy) is 10–20%. Demonstration of a fluid-filled bowel at the level of the heart on ultrasound is diagnostic.
The protrusion of an internal organ through a defect in the wall of the anatomical cavity in which it lies.... hernia
An upwards protrusion of the stomach through the diaphragm wall. It is particularly common in women in their fourth and fifth decades.... hiatus hernia
Congenital deformities, diseases, etc. are those which are either present at birth, or which, being transmitted direct from the parents, show themselves some time after birth.... congenital
See ADRENOGENITAL SYNDROME and GENETIC DISORDERS.... congenital adrenal hyperplasia
An extrusion of the abdominal PERITONEUM, sometimes containing a loop of bowel, through natural openings in the region of either groin (see HERNIA).... inguinal hernia
A type of hernia in which the intestine bulges through a scarred area of the abdominal wall because the muscle has been weakened by a previous surgical incision.... incisional hernia
A type of hernia that occurs in the groin area, where the femoral artery and femoral vein pass from the lower abdomen to the thigh.... femoral hernia
See disc prolapse.... herniated disc
See developmental hip dysplasia.... hip, congenital dislocation of
displacement of an intervertebral disc through a tear in the fibrous outer coat of the disc. See prolapsed intervertebral disc.... disc herniation
an inguinal *hernia that has an element of descent (‘slide’) of related structures alongside the sac.... hernia-en-glissade
(CDH) an abnormality present at birth in which the head of the femur is displaced or easily displaceable from the acetabulum (socket) of the ilium, which is poorly developed; it frequently affects both hip joints. CDH occurs in about 1.5 per 1000 live births, being more common in first-born girls, in breech deliveries, and if there is a family history of the condition. The leg is shortened and has a reduced range of movement, and the skin creases may be asymmetrical. All babies are routinely screened for CDH at birth and at developmental check-ups by gentle manipulation of the hip causing it to be reduced and dislocated with a clunk (see Barlow manoeuvre; Ortolani manoeuvre). The diagnosis is confirmed by X-ray or ultrasound scan. Treatment is with a special harness holding the hip in the correct position. If this is unsuccessful, the hip is reduced under anaesthetic and held with a plaster of Paris cast or the defect is corrected by surgery. Successful treatment of an infant can give a normal hip; if the dislocation is not detected, the hip does not develop normally and osteoarthritis develops at a young age.... congenital dislocation of the hip
a hereditary condition (inherited as an autosomal *recessive) causing severe visual loss in infants. The *fundus usually appears to be normal when examined with an *ophthalmoscope, but marked abnormalities are found on the ERG (see electroretinography), usually with extinguished wave pattern. [T. Leber (1840–1917), German ophthalmologist]... leber’s congenital amaurosis
an unusual hernia containing a Meckel’s *diverticulum. [A. Littre (1658–1726), French anatomist]... littre’s hernia
a rare hernia that contains two adjacent loops of intestine. The intra-abdominal section of intestine between the two loops within the hernia may become strangulated. [K. Maydl (1853-1903), Bohemian surgeon]... maydl hernia
a double sac comprising the sac of an indirect (external) and a direct (internal) inguinal *hernia on the same side.... pantaloon hernia
a hernia that contains only part of the circumference of the wall of the intestine. There is no intestinal obstruction, but necrosis of the affected section of bowel can develop rapidly. [A. G. Richter (1742–1812), German surgeon]... richter’s hernia
a hernia through the spigelian fascia, a sheath of fibrous tissue that runs along the outside edge of the *rectus abdominis muscle.... spigelian hernia