{"id":148,"date":"2026-06-23T17:55:14","date_gmt":"2026-06-23T17:55:14","guid":{"rendered":"https:\/\/blogs.imperial.ac.uk\/my-path\/?p=148"},"modified":"2026-06-25T09:08:26","modified_gmt":"2026-06-25T09:08:26","slug":"blog-posts-gi-paedatric-pathology-case-1","status":"publish","type":"post","link":"https:\/\/blogs.imperial.ac.uk\/my-path\/2026\/06\/23\/blog-posts-gi-paedatric-pathology-case-1\/","title":{"rendered":"GI: Paedatric Pathology Case 2"},"content":{"rendered":"

A newborn presents with respiratory distress soon after birth.<\/p>\n

Chest X-ray reveals bowel loops in the left chest and mediastinal shift.<\/p>\n

\"\"<\/p>\n

https:\/\/radiopaedia.org\/articles\/bochdalek-hernia<\/p>\n

 <\/p>\n

Congenital diaphragmatic hernia\u00a0 (Bochdalek hernia – see below)<\/p>\n

This is caused by the failure of the pleuroperitoneal membrane to fuse<\/p>\n

 <\/p>\n

Classification of Diaphragmatic Hernias<\/h1>\n\n\n\n\n\n\n\n\n\n\n\n
Category<\/strong><\/td>\nType<\/strong><\/td>\nSubtype<\/strong><\/td>\nKey Features<\/strong><\/td>\n<\/tr>\n<\/thead>\n
Congenital\u00a0<\/strong><\/td>\nBochdalek Hernia<\/strong><\/td>\n\u2014<\/td>\n~90% of Congenital Diaphragmatic Hernias ; postero-lateral defect; predominantly left-sided; impairs fetal lung development (pulmonary hypoplasia)<\/td>\n<\/tr>\n
Congenital\u00a0<\/strong><\/td>\nMorgagni Hernia<\/td>\n\u2014<\/td>\nAnterior defect; rarely detected antenatally; less severe respiratory impact in infants<\/td>\n<\/tr>\n
Congenital\u00a0<\/strong><\/td>\nCentral Tendon Defect<\/td>\n\u2014<\/td>\nVery rare; defect in the central tendon of the diaphragm<\/td>\n<\/tr>\n
Acquired<\/strong><\/td>\nTraumatic<\/td>\n\u2014<\/td>\nBlunt force (e.g. RTA) or penetrating injury (e.g. stab wound) causing diaphragmatic rupture<\/td>\n<\/tr>\n
Acquired<\/strong><\/td>\nHiatal Hernia<\/strong><\/td>\nSliding<\/strong> (Type I)<\/td>\nGOJ and stomach slide superiorly through the oesophageal hiatus; most common type<\/td>\n<\/tr>\n
Acquired<\/strong><\/td>\nHiatal Hernia<\/strong><\/td>\nParaesophageal<\/strong> (Types II\u2013IV)<\/td>\nGOJ remains in situ; portion of stomach herniates alongside oesophagus; Types III\/IV involve increasing gastric herniation<\/td>\n<\/tr>\n
Acquired<\/strong><\/td>\nIatrogenic<\/td>\n\u2014<\/td>\nPost-surgical diaphragmatic defect, typically following thoracic or upper abdominal procedures (e.g. oesophagectomy, fundoplication)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

Robbin’s: Page 686<\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

A newborn presents with respiratory distress soon after birth. Chest X-ray reveals bowel loops in the left chest and mediastinal shift. https:\/\/radiopaedia.org\/articles\/bochdalek-hernia   Congenital diaphragmatic hernia\u00a0 (Bochdalek hernia – see below) This is caused by the failure of the pleuroperitoneal membrane to fuse   Classification of Diaphragmatic Hernias Category Type Subtype Key Features Congenital\u00a0 Bochdalek […]<\/p>\n","protected":false},"author":1119,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[290084,318393,318392,290088],"tags":[318394],"class_list":["post-148","post","type-post","status-publish","format-standard","hentry","category-gastro-intestinal-pathology","category-paediatric","category-trainee","category-undergraduate-pathology","tag-paediatric"],"_links":{"self":[{"href":"https:\/\/blogs.imperial.ac.uk\/my-path\/wp-json\/wp\/v2\/posts\/148","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.imperial.ac.uk\/my-path\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.imperial.ac.uk\/my-path\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/my-path\/wp-json\/wp\/v2\/users\/1119"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/my-path\/wp-json\/wp\/v2\/comments?post=148"}],"version-history":[{"count":7,"href":"https:\/\/blogs.imperial.ac.uk\/my-path\/wp-json\/wp\/v2\/posts\/148\/revisions"}],"predecessor-version":[{"id":159,"href":"https:\/\/blogs.imperial.ac.uk\/my-path\/wp-json\/wp\/v2\/posts\/148\/revisions\/159"}],"wp:attachment":[{"href":"https:\/\/blogs.imperial.ac.uk\/my-path\/wp-json\/wp\/v2\/media?parent=148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/my-path\/wp-json\/wp\/v2\/categories?post=148"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/my-path\/wp-json\/wp\/v2\/tags?post=148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}