Abstract
Hepatopulmonary fusion is a rare condition in which a dense adhesion occurs between
the right lung and herniated hepatic parenchyma in patients with right-sided congenital
diaphragmatic hernia. Plain radiographic and magnetic resonance imaging (MRI) findings
of hepatopulmonary fusion in a neonate have been reported in a retrospective study
with a small patient population and a case report. However, to our knowledge, there
is no report regarding the secondary hepatopulmonary fusion (after right-sided congenital
diaphragmatic hernia repair) evaluated with multidetector computed tomography (MDCT)
in a neonate. We report a case of secondary hepatopulmonary fusion in a neonate, in
which multiplanar and three-dimensional (3D) images were helpful in delineating the
precise anatomy for preoperative evaluation. Understanding the diagnostic limitations
of plain radiographs and MRI, the use of MDCT with its multiplanar and 3D imaging
may emerge as a useful noninvasive imaging modality in the evaluation of possible
hepatopulmonary fusion in pediatric patients with right-sided congenital diaphragmatic
hernia.
Keywords
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Article info
Publication history
Published online: October 05, 2009
Accepted:
July 20,
2009
Received:
July 8,
2009
Identification
Copyright
© 2010 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
