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Radiological diagnosis of congenital diaphragmatic hernia in 17th century Korean mummy.
[congenital diaphragmatic hernia]
Congenital
diaphragmatic
hernia
(
CDH
)
is
a
birth
defect
of
the
diaphragm
resulting
in
pulmonary
sequelae
that
threaten
the
lives
of
infants
.
In
computed
tomography
(
CT
)
images
of
a
17
th
century
middle
-aged
male
mummy
(
the
Andong
mummy
)
,
we
observed
that
the
abdominal
contents
had
protruded
into
the
right
thoracic
cavity
through
the
diaphragmatic
defect
,
accompanied
by
a
mediastinal
shift
to
the
left
.
On
autopsy
,
the
defect
in
the
right
posterolateral
aspect
of
the
diaphragm
was
reconfirmed
,
as
was
the
herniation
of
the
abdominal
organs
.
The
herniated
contents
included
the
right
lobe
of
the
liver
,
the
pyloric
part
of
the
stomach
,
a
part
of
the
greater
omentum
,
and
the
right
colic
flexure
connecting
the
superior
part
of
the
ascending
colon
and
the
right
part
of
the
transverse
colon
.
Taking
our
CT
and
autopsy
results
together
,
this
case
was
diagnosed
as
the
Bochdalek-
type
CDH
.
Herein
we
make
the
first
ever
report
of
a
CT
-assisted
diagnosis
of
a
pre-modern
historical
case
of
CDH
.
Our
results
show
the
promising
utility
of
this
modality
in
investigations
of
mummified
human
remains
archaeologically
obtained
.
