[Insertion of intercostal drain into the liver in a right congenital diaphragmatic hernia]

Mortality of congenital diaphragmatic hernia [CDH] remains high despite the progress in resuscitation assessment. The diagnosis can be difficult especially in the right side form. We report a liver diaphragmatic hernia which been erratically diagnosed as a right pleuropneumopathy. An intercostal drain was inserted into the hepatic parenchyma. The diagnosis was secondarily rectified after thoracic tomodensitometry. The diagnosis of CDH must be systematically evoked in new-borns or infants presenting respiratory or gastrointestinal symptoms with chest X-ray abnormalities

[Interest of systematic echocardiography to detect neonatal cardiac abnormalities]

Cardiac disorders are frequent in newborn from diabetic mother. The screening must be performed as early as possible in neonatal period. We have done a prospective study with 161 newborns from april the first 2005 to 31 [th] july 2006 to evaluate the interest of a systematic echocardiography to detect neonatal cardiac abnormalities. 42.2%of neonatal echocardiography [68 cases] were realized in the early neonate period and the last 57.8%of echocardiographies in the period between the 29 [th] day and the third month of life. All neonates were asymptomatic during the examination. We found cardiac disorders in 14 newborns [8.5 of cases]. Asymmetric septal hypertrophy was found in 3.7%of cases [6 newborns] with a high significative correlation with macrosomia. Cardiac malformations were diagnosed in 7.7%of newborns [55%of echocardiographic abnormalities] interesting interventricular and interatrial septa, big vessels. Echocardiography is the golden standard test in the screening of cardiac abnormalities in newborns of diabetic mothers, septal hypertrophy is the most frequent disorder observed. A clinical and echocardiographic follow up is necessary regularly when abnormalities are detected

[Antenatal diagnosis of fetal goiter in a fetus from mothers amiodarone treatment]

We report a case of fetal goitrous diagnosed on ultrasonogram done at 20 weeks of gestation in a fetus whose mother was diabetic, treated with amiodarone for mitrale's prosthesis and having a child with a caudal regression syndrome. Thyroid maternal function was normal. An iodine overloading because use of amiodarone has been evoked. A medical interruption of pregnancy for mother safety was done at 25 weeks of gestation. The authors describe the ultrasonographic and biological diagnosis of goiter, their aetiology and complications and discuss the antenatal management