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Images in paediatrics
Tracheomegaly following antenatal treatment for congenital diaphragmatic hernia
  1. Anjay Pillai1,
  2. Thomas Semple2,
  3. Andrew Bush3,4
  1. 1 Paediatric Respiratory Medicine, Jenny Lind Childrens Hospital, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK
  2. 2 Paediatric and Cardiothoracic Radiology, Royal Brompton Hospital, London, UK
  3. 3 Department of Paediatric Respiratory Medicine, Royal Brompton Hospital, London, UK
  4. 4 Leukocyte Biology, Imperial College London, National Heart and Lung Institute, London, UK
  1. Correspondence to Dr Anjay Pillai, Paediatric Respiratory Medicine, Norfolk and Norwich University Hospital, Norwich, UK; anjayma{at}

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Fetal endoscopic tracheal occlusion (FETO) is frequently used in the antenatal management of congenital diaphragmatic hernia (CDH).1 This involves occluding the trachea with an external clip or an endoluminal balloon which is postulated to hold back the fluid secreted intraluminally by the airway, induce stretch and thus stimulate lung growth and maturation.

A 3.5-year-old girl was referred for recurrent chest infections. She had a history of left-sided CDH identified antenatally on an ultrasound scan at 20 weeks …

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  • Contributors AP and AB jointly conceptualised and drafted the manuscript. TS provided the radiology images and the associated radiology reports.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.