Upper Gastrointestinal Contrast Study 1 ( Additional Examinations)

Figure atno_24_n.jpg: Upper gastrointestinal contrast study in an 1-day-old neonate with a slight to moderate respiratory distress syndrome. The esophagus filled up with contrast is displaced by a large, oval structure to its right in the picture. In addition, there are indistinctly depicted, rounded clearances limited craniallly by a minute dark and rounded border. It is a left pleuroperitoneal diaphragmatic hernia with a hernia sac. Compare with picture atno_23a_n.jpg. The residual space available for the left lung includes only the upper hemithorax. In addition, there is a displacement of the mediastinum to the right (with trachea, esophagus, heart, and large vessels) with voiding disorder of the part of the stomach and the gastric outlet displaced into the thorax. Usually, an additional upper gastrointestinal contrast study beyond the neonatal age is only needed in cases where there is suspicion of a diaphragmatic hernia either due to incidental x-ray findings, or due to gastrointestinal or respiratory signs. In this case, the study was performed to confirm the suspicion of a diaphragmatic hernia with hernia sac.