Right-sided Congenital Diaphragmatic Hernia vs. Right-sided Diaphragmatic Eventration
Left picture: This infant has a large sternocostal diaphragmatic hernia (foramen of Morgagni hernia), which feigns a high position of the diaphragm. Right picture: The RDS is caused by an extreme high position of the right diaphragm with impairment of the mechanics of respiration due to paradoxical respiratory movements. The paresis of the phrenic nerve is, together with a combined cervicobrachial plexus paresis, the effect of a birth trauma.
In both patients a right-sided high position of the diaphragm is the cause of an RDS or of respiratory symptoms. Left picture: Underneath the diaphragm with a high position a pattern of lung structure is recogizable. The right phrenicocostal sinus is visible. This infant exhibited respiratory symptoms only beyond the neonatal period; however, cardiovascular and gastrointestinal symptoms were in the foreground. Right picture: Underneath the diaphragm with a high position no pattern of lung structure is visible on the right side in this newborn. The dome of the diaphragm stands in the middle of the right hemithorax.