title: Esophageal obstruction and intracardiac "mass" in association with omphalocele closure.
abstract: 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.
authors.affiliation: Radiology Department, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. victoria@email.chop.edu
authors.forename: Teresa
authors.initials: T
authors.lastname: Victoria
authors.forename: Sandra S
authors.initials: SS
authors.lastname: Kramer
authors.forename: Richard
authors.initials: R
authors.lastname: Markowitz
authors.forename: Sabah
authors.initials: S
authors.lastname: Servaes
authors.forename: Andrew
authors.initials: A
authors.lastname: Mong
authors.forename: Diego
authors.initials: D
authors.lastname: Jaramillo
authors.forename: N Scott
authors.initials: NS
authors.lastname: Adzick
mesh_terms: 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*