Hiatal Hernia versus Congenital Diaphragmatic Hernia - USMLE Forums
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Old 12-29-2010
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Anatomy Hiatal Hernia versus Congenital Diaphragmatic Hernia

what would be the difference between congenital diaphragmatic hernia and esophageal hiatal hernia? both have herniation of esophagastric contents into the pleural cavity, right, so would the differences be anatomic in nature?
Thanks so much for your answer in advance!
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Old 12-29-2010
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Hiatus hernia will contain only stomach, and results in reflux symptoms. These are central, where the oesophagus goes through the diaphragm (can't remember what this is called...)

CDH can contain various abdominal organs, and will cause respiratory symptoms do to lung compression. These tend to occur laterally, at a weakness in the diaphragm.
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Old 12-29-2010
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Default How did you mix them up!

There's a huge difference between the tow!!!
I don't really understand how you got them mixed up.

Hiatus hernia occurs later in later in life and it's an acquired disorder and it's involves herniation of the gastroesophageal junction (or part of the stomach in the case of the paraesophageal type) up through the esophageal haitus which is a central opening in the diaphragm.

While congenital diaphragmatic hernia is a congenital disorder seen usually in newborns and is life threatening and it's due to peripheral weakness in the diaphargam and is most commonly on the left side.
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Old 12-29-2010
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Arrow Check our previous bits and pieces step 1 post

There's another post that might be useful in this regard,
Here's the link
Diaphragm: Anatomy and Embryology and Openings
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Old 12-29-2010
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Default hiatal hernia

eh you guys cleared it all up! it's crystal clear sparkling white now. thanks a millions!
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Old 12-29-2010
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Default re: congenital hernia

Now congenital hernia occurs more typically on the posterolaterally left side, correct?
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Old 01-23-2011
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Default MC site LEFT

yes left side leading to left lung hypoplasia.
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Old 01-23-2011
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Arrow

Quote:
Originally Posted by laithbv View Post
There's a huge difference between the tow!!!
I don't really understand how you got them mixed up.

Hiatus hernia occurs later in later in life and it's an acquired disorder and it's involves herniation of the gastroesophageal junction (or part of the stomach in the case of the paraesophageal type) up through the esophageal haitus which is a central opening in the diaphragm.

While congenital diaphragmatic hernia is a congenital disorder seen usually in newborns and is life threatening and it's due to peripheral weakness in the diaphargam and is most commonly on the left side.
Hiatus hernia


Congenital diaphragmatic hernia

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Old 01-24-2011
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Thanks these pictures worth many words ;-)
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