Wednesday, June 1, 2011

Diaphragmatic hernia - Signs, symptoms, diagnosis

Signs and symptoms

Alemente early diagnosis include the following: dextropozitia heart,respiratory noise reduction on the affected side, scaphoidabdomen, stomach noises hidroaerice, respiratory distress,cyanosis. Diaphragmatic hernias can be diagnosed in utero byultrasound or magnetic resonance imaging.
Late diagnosis is based on highlighting the chest radiograph of agastric volvulus, volvulus spleen, masses in the chest, bowelobstruction.

Congenital hernias (neonatal onset) is manifested by respiratorydistress, cyanosis in the first 24 hours of birth. Hernias can not bediagnosed for several years if the defect is small enough and does not cause significant pulmonary dysfunction. Congenital hernias inchildhood-onset symptoms of the protrusion of bowel obstruction,chest pain, fatigue or feeling of fullness in the chest, sepsis afterstrangulation or perforation.

Diagnosis

Laboratory studies:
maternal serum alpha-fetoprotein with low levels is associated withdiaphragmatic hernia
-like single study is not a certainty alfafetoproteina diagnose.

Imaging Studies:
Abnormal chest radiograph reveals presence of the stomach andintestines in the chest and mediastinum dextropozitia.
Prenatal 3D ultrasound is the standard criterion for diagnosis ofdiaphragmatic hernia in utero. Diaphragmatic hernia are elementsthat indicate polihidraminosul, intrathoracic stomach, heart andmediastinum malpozitia and rare fetal hydrops.

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