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| Prenatal ultrasound diagnosis of fetal esophageal hiatal hernia |
| ZHENG Yu-lan, SHANG Ning, OUYANG Chun-yan, XIAO Yi-wei, YANG Chao-xiang, HE Wei, WANG Li-min, MA Xiao-yan |
| Guangdong Women and Children Hospital, Guangzhou 511400, China |
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Abstract Objective: To analyze the prenatal ultrasound features of fetal esophageal hiatal hernia(EHH). Methods: The prenatal ultrasonography and chest MRI of fetal EHH were collected and the ultrasonography features were summarized. Results: Of the 10 patients with EHH, 9 cases were simple gastric vesicles, and 1 case was multiple organs. Three cases were found EHH during mid-pregnancy(14～26 weeks). Five cases occurred EHH in the late gestation(32～39 weeks), while no abnormalities were found during early and middle period. Two cases were normal before birth, and the EHH was found within 1 week after birth. Of the 10 cases, 4 cases were simple EHH, while 6 cases accompanied with other organ abnormalities, including 3 cases of cardiovascular abnormalities, 1 case of duplication of esophagus, 1 case of hepatic cysts, 1 case of hypothyroidism after birth and short long bone in the limbs of the fetus. In 10 cases, 5 cases without other severe deformities were followed up after birth. No signs of chromosomal or gene related abnormalities were found in 7 cases after birth. Conclusion: EHH can be found and diagnosed by prenatal ultrasonography examination, most of them were found in late pregnancy. Most of the EHH happened with other fetal abnormalities, especially cardiovascular abnormalities, simple EHH does not affect lung development, the prognosis is promising.
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Received: 28 November 2017
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[1]Patoulias D, Kalogirou M, Feidantsis T, et al. Paraesophageal Hernia as a Cause of Chronic Asymptomatic Anemia in a 6 Years Old Boy; Case Report and Review of the Literature[J]. Acta Medica(Hradec Kralove), 2017, 60(2): 76-81.
[2]Kohn GP, Price RR, DeMeester SR, et al. Guidelines for the management of hiatal hernia[J]. Surg Endosc, 2013, 27(12): 4409-4428.
[3]Weber C, Davis CS, Shankaran V, et al. Hiatal hernias: a review of the pathophysiologic theories and implication for research[J]. Surg Endosc, 2011, 25(10): 3149-3153.
[4]Cakmakci E, Celebi I, Tahtabasi M, et al. Accuracy of ultrasonography in the diagnosis of sliding hiatal hernias[J]. Acad Radiol, 2013, 20(4): 453-456.
[5]Scarpato E, D’Armiento M, Martinelli M, et al. Impact of hiatal hernia on pediatric dyspeptic symptoms[J]. J Pediatr Gastroenterol Nutr, 2014, 59(6): 795-798.
[6]Higashi S, Nakajima K, Tanaka K, et al. Laparoscopic anterior gastropexy for type Ⅲ?蛐Ⅳ hiatal hernia in elderly patients[J]. Surg Case Rep, 2017, 3(1): 45.
[7]Arman D, Sancak S, Topcuoglu S, et al. New findings in fetal valproate syndrome: hiatal hernia, gastric volvulus and ectopic kidney[J]. J Obstet Gynaecol, 2016, 36(6): 767-768.
[8]Saeed U, Mazhar N, Zameer S. Large hiatal hernia in infancy with right intrathoracic stomach along with left sided morgagni hernia[J]. J Coll Physicians Surg Pak, 2014, 24(Suppl 3): S178-179.
[9]Jetley NK, Al-Assiri AH, Al Awadi D. Congenital para esophageal hernia: a 10 year experience from Saudi Arabia[J]. Indian J Pediatr, 2009, 76(5): 489-493.
[10]Weller S, Powers C, Sly B, et al. Severe type Ⅳ hiatal hernia secondary to congenital shortened esophagus[J]. JAAPA, 2017, 30(10): 1-3.
[11]Yelisetti R, Awad A, Kaji A. Diffuse parenchymal lung disease with micro aspirations in presence of hiatal hernia[J]. Respir Med Case Rep, 2017, 22(12): 212-214. |
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