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Hepatic pulmonary fusion in neonates
T L Slovis1, D L Farmer, W E Berdon
1Department of Pediatric Imaging, Children's Hospital of Michigan, Detroit 48201, USA.
AJR. American Journal of Roentgenology
|January 11, 2000
Summary
Supradiaphragmatic hepatic tissue fused to the lung via a diaphragmatic defect is linked to pulmonary hypoplasia. This new finding, hepatic pulmonary fusion, aids in diagnosing apparent diaphragmatic hernias.
Area of Science:
- Medical imaging
- Pediatric surgery
- Pulmonology
Background:
- Diaphragmatic defects can lead to herniation of abdominal organs into the chest.
- Pulmonary hypoplasia is a condition of incomplete lung development.
Purpose of the Study:
- To describe a novel association between supradiaphragmatic hepatic tissue fused to the lung and pulmonary hypoplasia.
- To establish hepatic pulmonary fusion as a distinct clinical and imaging finding.
Main Methods:
- Review of relevant medical literature and case studies.
- Analysis of imaging findings in cases of congenital diaphragmatic abnormalities.
Main Results:
- Identified a pattern of supradiaphragmatic hepatic tissue fused to lung parenchyma through a diaphragmatic defect.
- Correlated this finding with varying degrees of pulmonary hypoplasia.
Conclusions:
- Hepatic pulmonary fusion is a newly recognized entity.
- This condition should be suspected in apparent diaphragmatic hernias with specific mediastinal shift patterns.
