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Case Reports in Obstetrics and Gynecology
Volume 2015, Article ID 194090, 3 pages
http://dx.doi.org/10.1155/2015/194090
Case Report

A Case of Ultrasound Diagnosis of Fetal Hiatal Hernia in Late Third Trimester of Pregnancy

1Department of Obstetrics & Gynecology, Vittore Buzzi Children’s Hospital, Via Castelvetro 32, 20154 Milan, Italy
2Department of Radiology and Neuroradiology, Vittore Buzzi Children’s Hospital, Via Castelvetro 32, 20154 Milan, Italy
3Pediatric Surgery Unit, Vittore Buzzi Children’s Hospital, Via Castelvetro 32, 20154 Milan, Italy

Received 11 February 2015; Accepted 6 April 2015

Academic Editor: Dotun Ogunyemi

Copyright © 2015 Stefania Di Francesco et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Congenital hiatal hernia is a condition characterized by herniation of the abdominal organs, most commonly the stomach, through a physiological but overlax esophageal hiatus into the thoracic cavity. Prenatal diagnosis of this anomaly is unusual and only eight cases have been reported in the literature. In this paper we describe a case of congenital hiatal hernia that was suspected at ultrasound at 39 weeks’ gestation, on the basis of a cystic mass in the posterior mediastinum, juxtaposed to the vertebral body. Postnatal upper gastrointestinal tract series confirmed the prenatal diagnosis. Postnatal management was planned with no urgency. Hiatal hernia is not commonly considered in the differential diagnosis of fetal cystic chest anomalies. This rare case documents the importance of prenatal diagnosis of this anomaly for prenatal counseling and postnatal management.