CONGENITAL DIAPHRAGMATIC HERNIA CONTROVERSIES IN DIAGNOSIS AND TREATMENT

Congenital diaphragmatic (CDH) a malformation that hernia is results from failure of fusion of the different elements that contribute to the formation of the diaphragm. The hernia may occur alone or may occur as one of multiple malformation syndromes. The hernia may occur through foramen of Bochadalek in the posterior portion of diaphragm or through foramen of Morgagni immediately behind the xiphoid process.Respiratory dysfunction develops as a result of associated anomalies and lung hypoplasia which range from minimal hypoplasia of one side to severe bilateral hypoplasia as a result of compression and inhibition of lung growth. The congenital hernia usually occurs on left side less common on the right and rarely bilaterally.