Main Logo

Society for Pediatric Radiology – Poster Archive


Final ID: Poster #: SCI-014

Can ultrasound differentiate between right diaphragmatic hernia and eventration?

Purpose or Case Report: Radiographic findings of right diaphragmatic eventration may overlap with true hernia if only liver herniates without bowel. We thus wanted to know the accuracy of ultrasonography (US) in the diagnosis of right diaphragmatic hernia.
Methods & Materials:
We identified all patients (2007-2016) who had US of the right diaphragm, and surgery for eventration or hernia. The medical record was reviewed for clinical presentation and surgical or pathologic diagnosis. US studies were reviewed for any diaphragm abnormalities. Surgical or pathology diagnosis was considered the gold standard.
16 children (8 females, age range birth-16 months, mean 5.2 months) had US as well as surgery for eventration (n=7) or hernia (n=9; 6 Bochdalek and 3 Morgagni). The most common presentation was respiratory distress (12/16, 75%).

US correctly diagnosed all 9 patients with hernia and misdiagnosed 3 patients with eventration, yielding 100% sensitivity for hernia, 57% specificity, and 81% accuracy.
Presence of at least one of the following US findings increased the specificity to 86% with 100% sensitivity, and 94% accuracy: folding of the free diaphragmatic edge (n=8) or liver seen cranial to the diaphragm muscle (n=7).
Conclusions: US imaging can be useful in the diagnosis of diaphragmatic hernia, although it is important to recognize presence of folding of free diaphragmatic edge and liver above the diaphragm muscle to improve specificity and overall accuracy.
  • Schold, Andrew  ( Indiana university school of medicine , Indianapolis , Indiana , United States )
  • Marine, Megan  ( Riley Hospital for Children , Indianapolis , Indiana , United States )
  • Brown, Brandon  ( Riley Hospital for Children , Indianapolis , Indiana , United States )
  • Gray, Brian  ( Riley Hospital for Children , Indianapolis , Indiana , United States )
  • Karmazyn, Boaz  ( Riley Hospital for Children , Indianapolis , Indiana , United States )
Session Info:

Posters - Scientific


SPR Posters - Scientific

More abstracts on this topic:
Uncovering Canal Of Nuck Pathologies.

Mar Melody, Gokli Ami, Jeremy Neuman, Raden Mark, Koshy June

Contrast-Enhanced Brain Ultrasound Perfusion Parameters in Congenital Diaphragmatic Hernia in the EXTra-uterine Environment for Neonatal Development

Didier Ryne, Martin-saavedra Juan, Sridharan Anush, Larson Abby, Coons Barbara, Coleman Beverly, Davey Marcus, Hedrick Holly, Flake Alan

More abstracts from these authors:
Hide and Seek with Bronchopulmonary Sequestrations: A Longitudinal Perspective

Chilukuri Sanjeev, Karmazyn Boaz, Wanner Matthew, Brown Brandon, Gray Brian, Marine Megan

A Practical Guide to MRI Evaluation of the Placenta

Brown Brandon, Shea Lindsey, Marine Megan

You have to be authorized to contact abstract author. Please, Login or Signup.

Please note that this is a separate login, not connected with your credentials used for the SPR main website.

Not Available