RESUMEN
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
Asunto(s)
Humanos , Masculino , Hernia Diafragmática/diagnóstico , Hígado , Drenaje , Hernia Diafragmática/mortalidadRESUMEN
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