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Informal Case: Cardiac Outflow Tract size in Fetus withFrom: Dr.Sanjay Vasoya (vasoya@worldgatein.com)Tue Nov 14 05:35:50 2000
dear sir, yes thre are some other signs which can be usfull to detect congenital diaphragmatic hernia. Diaphragmatic hernia on left side is easy to diagnose and should not be missed. Ultrasound picture may be displacemnt of stomach shadow in the chest with same level of heart and stomach on axial scan. Some time unilateral pleural effusion is seen. You my even sometome see associated polyhydromnbiosis. In such patient another suggestive signs is abdominal circumferance is small for gestational age because of displacemetn of abdominal organs into thorax. But on right side it's really a great chanlange because of similar ultrasound echogenicity of liver and lung but still sometime you are lucky if you find displaced GB in thorax. Yoy may even see unilateral pleural effusion and mediastinal shift. To be very frank for me most of times it's very difficult to diagnose mild mediastinal shift. AC is small for GA. The other signs of elongated umbilical vein is difficult to appreciate.
-- dr.sanjay vasoya
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