A Case of Ultrasound Diagnosis of Fetal Hiatal Hernia in Late Third Trimester of Pregnancy

Congenital hiatal hernia is a condition characterized by herniation of the abdominal organs, most commonly the stomach, through a physiological but overlax esophageal hiatus into the thoracic cavity. Prenatal diagnosis of this anomaly is unusual and only eight cases have been reported in the literat...

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Main Authors: Stefania Di Francesco, Mariano Matteo Lanna, Marcello Napolitano, Luciano Maestri, Stefano Faiola, Mariangela Rustico, Enrico Ferrazzi
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2015/194090
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author Stefania Di Francesco
Mariano Matteo Lanna
Marcello Napolitano
Luciano Maestri
Stefano Faiola
Mariangela Rustico
Enrico Ferrazzi
author_facet Stefania Di Francesco
Mariano Matteo Lanna
Marcello Napolitano
Luciano Maestri
Stefano Faiola
Mariangela Rustico
Enrico Ferrazzi
author_sort Stefania Di Francesco
collection DOAJ
description Congenital hiatal hernia is a condition characterized by herniation of the abdominal organs, most commonly the stomach, through a physiological but overlax esophageal hiatus into the thoracic cavity. Prenatal diagnosis of this anomaly is unusual and only eight cases have been reported in the literature. In this paper we describe a case of congenital hiatal hernia that was suspected at ultrasound at 39 weeks’ gestation, on the basis of a cystic mass in the posterior mediastinum, juxtaposed to the vertebral body. Postnatal upper gastrointestinal tract series confirmed the prenatal diagnosis. Postnatal management was planned with no urgency. Hiatal hernia is not commonly considered in the differential diagnosis of fetal cystic chest anomalies. This rare case documents the importance of prenatal diagnosis of this anomaly for prenatal counseling and postnatal management.
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institution Kabale University
issn 2090-6684
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language English
publishDate 2015-01-01
publisher Wiley
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-97f556ccc68f4532b50f274bfc0d1faf2025-02-03T01:30:04ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922015-01-01201510.1155/2015/194090194090A Case of Ultrasound Diagnosis of Fetal Hiatal Hernia in Late Third Trimester of PregnancyStefania Di Francesco0Mariano Matteo Lanna1Marcello Napolitano2Luciano Maestri3Stefano Faiola4Mariangela Rustico5Enrico Ferrazzi6Department of Obstetrics & Gynecology, Vittore Buzzi Children’s Hospital, Via Castelvetro 32, 20154 Milan, ItalyDepartment of Obstetrics & Gynecology, Vittore Buzzi Children’s Hospital, Via Castelvetro 32, 20154 Milan, ItalyDepartment of Radiology and Neuroradiology, Vittore Buzzi Children’s Hospital, Via Castelvetro 32, 20154 Milan, ItalyPediatric Surgery Unit, Vittore Buzzi Children’s Hospital, Via Castelvetro 32, 20154 Milan, ItalyDepartment of Obstetrics & Gynecology, Vittore Buzzi Children’s Hospital, Via Castelvetro 32, 20154 Milan, ItalyDepartment of Obstetrics & Gynecology, Vittore Buzzi Children’s Hospital, Via Castelvetro 32, 20154 Milan, ItalyDepartment of Obstetrics & Gynecology, Vittore Buzzi Children’s Hospital, Via Castelvetro 32, 20154 Milan, ItalyCongenital hiatal hernia is a condition characterized by herniation of the abdominal organs, most commonly the stomach, through a physiological but overlax esophageal hiatus into the thoracic cavity. Prenatal diagnosis of this anomaly is unusual and only eight cases have been reported in the literature. In this paper we describe a case of congenital hiatal hernia that was suspected at ultrasound at 39 weeks’ gestation, on the basis of a cystic mass in the posterior mediastinum, juxtaposed to the vertebral body. Postnatal upper gastrointestinal tract series confirmed the prenatal diagnosis. Postnatal management was planned with no urgency. Hiatal hernia is not commonly considered in the differential diagnosis of fetal cystic chest anomalies. This rare case documents the importance of prenatal diagnosis of this anomaly for prenatal counseling and postnatal management.http://dx.doi.org/10.1155/2015/194090
spellingShingle Stefania Di Francesco
Mariano Matteo Lanna
Marcello Napolitano
Luciano Maestri
Stefano Faiola
Mariangela Rustico
Enrico Ferrazzi
A Case of Ultrasound Diagnosis of Fetal Hiatal Hernia in Late Third Trimester of Pregnancy
Case Reports in Obstetrics and Gynecology
title A Case of Ultrasound Diagnosis of Fetal Hiatal Hernia in Late Third Trimester of Pregnancy
title_full A Case of Ultrasound Diagnosis of Fetal Hiatal Hernia in Late Third Trimester of Pregnancy
title_fullStr A Case of Ultrasound Diagnosis of Fetal Hiatal Hernia in Late Third Trimester of Pregnancy
title_full_unstemmed A Case of Ultrasound Diagnosis of Fetal Hiatal Hernia in Late Third Trimester of Pregnancy
title_short A Case of Ultrasound Diagnosis of Fetal Hiatal Hernia in Late Third Trimester of Pregnancy
title_sort case of ultrasound diagnosis of fetal hiatal hernia in late third trimester of pregnancy
url http://dx.doi.org/10.1155/2015/194090
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