Infra-diaphragmatic total anomalous pulmonary venous drainage presenting with rectal bleeding.
A boy aged 1 month presented with profuse rectal bleeding. Chest x-ray film showed pulmonary oedema and at cardiac catheterisation infradiaphragmatic total anomalous pulmonary venous drainage to a dilated portal venous system was found. Ulcerated oesophageal varices were identified at necropsy after unsuccessful cardiac surgery. The late and unique presentation of this case is emphasised.
D004932:Esophageal and Gastric Varices / Q000209:etiology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011654:Pulmonary Edema / Q000209:etiology; D011667:Pulmonary Veins / Q000002:abnormalities*; D012007:Rectum