Blog posts GI: Paedatric Pathology Case 1

 

 

Classification of Diaphragmatic Hernias

Category Type Subtype Key Features
Congenital  Bochdalek Hernia ~90% of Congenital Diaphragmatic Hernias ; postero-lateral defect; predominantly left-sided; impairs fetal lung development (pulmonary hypoplasia)
Congenital  Morgagni Hernia Anterior defect; rarely detected antenatally; less severe respiratory impact in infants
Congenital  Central Tendon Defect Very rare; defect in the central tendon of the diaphragm
Acquired Traumatic Blunt force (e.g. RTA) or penetrating injury (e.g. stab wound) causing diaphragmatic rupture
Acquired Hiatal Hernia Sliding (Type I) GOJ and stomach slide superiorly through the oesophageal hiatus; most common type
Acquired Hiatal Hernia Paraesophageal (Types II–IV) GOJ remains in situ; portion of stomach herniates alongside oesophagus; Types III/IV involve increasing gastric herniation
Acquired Iatrogenic Post-surgical diaphragmatic defect, typically following thoracic or upper abdominal procedures (e.g. oesophagectomy, fundoplication)