Lung herniation: an uncommon presentation of Poland's syndrome in a neonate at birth.
A term male infant was admitted to the neonatal intensive care unit with an asymmetric chest wall and a herniating mass through the left fourth intercostal space. While crying, the left fourth intercostal space revealed a mass which herniated on expiration and receded on inspiration. On auscultation, the heart sounds were audible on the right side of the chest. Systemic examination was otherwise unremarkable. A roentgenogram of the chest revealed dextrocardia and hyperlucent left lung fields. Echocardiogram showed dextrocardia with a structurally normal heart. A clinical diagnosis of Poland's syndrome was made based on the hypoplasia of the left pectoral muscles, ribs and nipple, dextrocardia and lung herniation. He was thriving well when reviewed at 2 years of age.
Department of Neonatology, KK Women's and Children's Hospital, Singapore, Singapore. schandran1312@yahoo.co.uk
Suresh
S
Chandran
Krishna Gopagondanahalli
KG
Revanna
Dinesh
D
Ari
Aftab Ahmed
AA
Rana
D000015:Abnormalities, Multiple / Q000175:diagnosis*; D003914:Dextrocardia / Q000175:diagnosis; D006547:Hernia / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D008171:Lung Diseases / Q000209:etiology*; D008297:Male; D011045:Poland Syndrome / Q000150:complications* / Q000175:diagnosis