Congenital diaphragmatic hernia

Malformation of the diaphragm allows the abdominal organs to push into the chest cavity, hindering proper lung formation.

Accounting for approximately 2% of all CDH cases, it is characterized by herniation through the foramina of Morgagni which are located immediately adjacent and posterior to the xiphoid process of the sternum.

[4] The diagnosis of congenital diaphragmatic eventration is used when there is abnormal displacement (i.e. elevation) of part or all of an otherwise intact diaphragm into the chest cavity.

This rare type of CDH occurs because in the region of eventration the diaphragm is thinner, allowing the abdominal viscera to protrude upwards.

[citation needed] There are genetic causes of CDH[5] including aneuploidies, chromosome copy number variants, and single gene mutations.

Work has been done to correlate survival rates to ultrasound measurements of the lung volume as compared to the baby's head circumference.

Individual rates vary greatly dependent upon multiple factors: size of hernia, organs involved, additional birth defects and/or genetic problems, amount of lung growth, age and size at birth, type of treatments, timing of treatments, complications (such as infections) and lack of lung function.

CT of the chest demonstrates a Morgagni hernia (red arrow)
Congenital diaphragmatic hernia: coronal obstetric ultrasound (head to right of image, thorax centre, abdomen left) shows the stomach and heart both within the thorax.