Day: June 5, 2023

Newborn with respiratory distress and new abdominal distension

CT of congenital diaphragmatic hernia
CXR (left) shows massive pneumoperitoneum and right pneumothorax which outlines a mass in the lower right chest which is causing mediastinal shift to the left. Coronal CT with contrast of the chest (above right) shows liver herniating through a lateral defect in the diaphragm into the lower right chest and lying above the right diaphragm (below right).

The diagnosis was congenital diaphragmatic hernia containing liver as outlined by pneumothorax and pneumoperitoneum.