persistently adducted left thumb

CDH ( CONGENITAL DIAPHRAGMATIC HERNIA ) -ADDUCTED THUMB-PROBABLE TRISOMY


Back to back CDH .

This was a 24 year old lady , gravida 2 , with one normal child. She has history of consanguinity.( married her mother’s step brother ).

This was referred for 2nd opinion for confirmation of CDH.

The following images were obtained .

R.V.,the LV outflow tract and  LA are seen in the colour image . The stomach is seen behind the LA. in the left hemithorax.

CDH ADD THUMB_1

CDH ADD THUMB_2

3d reconstruction clearly shows stomach in left hemithorax and the heart pushed to the right

3d reconstruction clearly shows stomach in left hemithorax and the heart pushed to the right

3 d reconstruction with chroma

3 d reconstruction with chroma

4 chamber view shows rt side of heart to be bigger than left side

4 chamber view shows rt side of heart to be bigger than left side

RVOT, PULM ART, AORTA, SVC  view appears normal

RVOT, PULM ART, AORTA, SVC view appears normal

lvot view

lvot view

right hand with persistent adducted thumb

right hand with persistent adducted thumb

persistently adducted left thumb

persistently adducted left thumb

the feet appear to be normal

the feet appear to be normal

CDH ADD THUMB_25CDH ADD THUMB_32

CDH ADD THUMB_33

CDH ADD THUMB_34according to radiology review manual , adducted thumb = short 1st metacarpal + phalanges and is diagnostic of trisomy E syndrome ( 16 to 18 )

i f interested visit the link below

radiographics.rsna.org/content/26/3/811.fullShare

by F Rypens – 2006 – Cited by 16 – Related articles
 flexed and ulnarly deviated  and the thumb is adducted. This position is constant during the examination and is strongly suggestive of trisomy 18

One thought on “CDH ( CONGENITAL DIAPHRAGMATIC HERNIA ) -ADDUCTED THUMB-PROBABLE TRISOMY

  1. Pingback: CDH ( CONGENITAL DIAPHRAGMATIC HERNIA ) -ADDUCTED THUMB-PROBABLE TRISOMY « When I turned 53

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