Congenital Diaphragmatic Hernia with Liver Herniation into the Pericardial Sac in a 30-Week Gestation Infant
| Autor: | Christina Sollinger, Philip J. Katzman, Kate G. Ackerman, Nisha Patel, Jeffrey M. Vinocur, Carl T. D'Angio |
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| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Hernia Heart Diseases Diaphragmatic breathing Autopsy Prenatal diagnosis Infant Premature Diseases Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine Fatal Outcome Prenatal Diagnosis medicine Pericardium Humans Abnormalities Multiple business.industry Obstetrics Liver Diseases Pericardial cavity Infant Newborn Congenital diaphragmatic hernia General Medicine medicine.disease Surgery Pentalogy of Cantrell 030104 developmental biology medicine.anatomical_structure 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Female business Hernias Diaphragmatic Congenital Infant Premature |
| Zdroj: | Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society. 20(5) |
| ISSN: | 1093-5266 |
| Popis: | Anterior diaphragmatic defects with pericardial involvement are extremely rare and diagnostically challenging entities encountered perinatally. While a majority of diaphragmatic defects occur in isolation, others are associated with multiple defects forming a complex of syndromes such as Pentalogy of Cantrell. Liver herniation into the pericardial sac poses a particular challenge and can mimic a pericardial tumor on prenatal ultrasound, yielding a different management course. The following case is an unusual presentation of a 30-week gestation female with an anterior midline diaphragmatic defect with liver herniation mimicking as a pericardial tumor, diagnosed at time of autopsy. Postmortem studies also found multiple congenital anomalies including an atrioventricular septal defect and midline gumline defect suggesting at least a partial Pentalogy of Cantrell or variant. Early recognition and screening for associated anomalies are essential for management in this subset of patients. |
| Databáze: | OpenAIRE |
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