Infant Journal
for neonatal and paediatric healthcare professionals

A floppy baby with elevated right hemidiaphragm and large stomach bubble on chest radiograph: what’s the diagnosis?

A preterm neonate of 36 weeks’ gestation was born via emergency lower segment caesarean section, requiring respiratory support soon after birth. She was hypotonic from birth and was found to have a large gastric bubble and a raised right hemidiaphragm on X-ray. She reached full feeds through a nasogastric tube on day 3 of life but later developed severe gastro-oesophageal reflux with pulmonary aspiration. What is the likely diagnosis?

Fatimah Aliyu
ST6 Paediatric Trainee, York Teaching Hospital, NHS Foundation Trust, f.aliyu@nhs.net

Udoka Asoh
ST7 Paediatric Trainee, Neonatal Unit, Hull University Teaching Hospitals NHS Trust, u.asoh@nhs.net

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Keywords
congenital diaphragmatic hernia; newborn; diaphragmatic defects; plain radiography
Key points
  1. Chest X-rays may be misleading when considering a diagnosis of CDH.
  2. If there is diagnostic uncertainty and/or when considering surgical intervention, additional imaging can be beneficial.

Also published in Infant:

VOLUME 15/ISSUE 4, JULY 2019
Craniotabes: a case of congenital deformation of the skull
This article presents a striking cranial deformity in a newborn baby in the context of an abnormal lie in utero compounded by biochemical vitamin D deficiency in the mother and baby in a high risk ethnic group. This case highlights the importance of prophylactically addressing adequate vitamin D nutrition in pregnancy to prevent occult bone disease in newborns.

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