8 Congenital Diaphragmatic Hernia of BochdalekPosterolateral diaphragmatic hernia through the pleuroperitoneal sinus is perhaps the most urgent of all neonatal thoracoabdominal emergencies.The maldevelopment is left-sided in85 to 90 % of the cases.
9 Congenital Diaphragmatic Hernia of Bochdalek Diagnosis in NB: Immediate cardio-respiratory distress, does not clear with pharyngotracheal cleaning.Fairly constant cyanosis, dyspnea, tachypnea, and tachycardiaThe involved hemithorax is relatively protuberant.Chest expansion is bilaterally uneven.
10 Congenital Diaphragmatic Hernia of Bochdalek Diagnosis in NB: Breath sounds are absent on the left, and percussion may be resonant. It is unusual to hear thoracic peristalsis.The apical cardiac impulse is dislocated to the right.The abdomen is scaphoid.
11 Congenital Anterior Diaphragmatic Hernia (Morgagni Hernia)Morgagni hernias occur behind the sternum through defects in the diaphragm that are perhaps secondary to a developmental failure of the retrosternal segment of the septum transversum.
12 Congenital Anterior Diaphragmatic Hernia (Morgagni Hernia)The defect on the left is usually obliterated by pericardium therefore, most of the hernias are on the right.It many infants and children, anteriordiaphragmatic defects are asymptomatic, and the hernia is found incidentally on chestroentgenogram.
13 Congenital Anterior Diaphragmatic Hernia (Morgagni Hernia)The diagnosis may be ultimatelysupported by roentgenograms showing amoderately dense tumor, usually at the right cardiophrenic angle in the posteroanterior film and in the anterior mediastinum on the lateral view.