Transient mega-esophagus in a neonate with congenital diaphragmatic hernia

I. R. Makhoul, G. Shoshany, T. Smolkin, M. Epelman, P. Sujov

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9 Scopus citations


Esophageal dilatation (ED) in neonates is rare. In the present case, ED was detected in a chest radiograph following repair of congenital diaphragmatic hernia (CDH) in a term neonate. A roentgenographic swallow study on the seventh day of life demonstrated ED and a sub-diaphragmatic stomach. The infant thrived adequately on enteral feeding. A swallow study on the twentieth day of life showed a normal-width esophagus with gastroesophageal reflux and small hiatus hernia. The longstanding herniated stomach in the fetus apparently caused kinking, edema, and obstruction of the gastroesophageal junction. This led to a significant ED and concealment of gastroesophageal reflux. We aim to arouse awareness about the occurrence of ED with CDH, and about its benign course under conservative management.

Original languageEnglish
Pages (from-to)867-869
Number of pages3
JournalEuropean Radiology
Issue number5
StatePublished - 2001
Externally publishedYes


  • Diaphragmatic hernia
  • Esophageal dilatation
  • Gastro-esophageal reflux
  • Hiatus hernia
  • Newborn infant


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