Esophageal obstruction and intracardiac "mass" in association with omphalocele closure.
Patients with large omphaloceles are subject to anatomical displacement and morphological distorsion after surgical repair. We report 2 such complications in an infant after repair of a giant omphalocele that contained both liver and bowel. Esophageal obstruction resulted from sharp, anterior angulation of the distal esophagus that hindered placement of a feeding tube in the neonatal period. At 1 year of age, routine cardiac evaluation led to the discovery of a "mass" within the heart caused by invagination of a tongue of liver tissue into the right atrium. Knowledge of these less well-recognized anatomical variations is important to avoid unnecessary interventions.
Victoria
Teresa
T
Radiology Department, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. victoria@email.chop.edu
Kramer
Sandra S
SS
Markowitz
Richard
R
Servaes
Sabah
S
Mong
Andrew
A
Jaramillo
Diego
D
Adzick
N Scott
NS
D004935:Esophageal Diseases / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology*; D006554:Hernia, Umbilical / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008099:Liver; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology*