BILATERAL CONGENITAL DIAPHRAGMATIC HERNIA FETAL ULTRASOUND, A CASE REPORT

Bilateral congenital diaphragmatic hernia (CDH) is an extremely rare and life-threatening condition where both sides of the diaphragm fail to form correctly, allowing abdominal organs to move into the chest cavity on both sides. WileyWiley +2Key Ultrasound Clues for Bilateral CDHWhile unilateral CDH (one-sided) is typically identified by a significant shifting of the heart (mediastinal shift), bilateral CDH is harder to detect because the organs on both sides may “balance” the heart’s position. WileyWiley +1Minimal Heart Shift: The heart may appear centered or only slightly shifted, which can lead to it being mistaken for a milder one-sided hernia.Anterior Displacement: The heart is often pushed forward (anteriorly) rather than just to the side.Organ Visualization:Left Side: The stomach and bowel loops are often visible in the left chest.Right Side: The liver is typically found in the right chest. Since liver tissue looks similar to lung tissue on standard ultrasound, doctors use Color Doppler to track abnormal hepatic (liver) blood vessel flow above the diaphragm.Small Lungs: Both the right and left branches of the pulmonary artery may appear underdeveloped (hypoplastic)