Answer

Diaphragmatic hernia

There are multiple loops of bowel within the chest causing marked shift of mediastinal structures to the opposite side. The loops of bowel in the chest are clearly continuous with those in the abdomen.

Most diaphragmatic hernias are symptomatic shortly after birth, they are more commonly left sided. The abdominal contents occupy the chest cavity in utero so both lungs (particularly on the side of the hernia) are hypoplastic. There is a significant mortality following successful surgical repair (see Table 1.16).

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