Left-sided Poland's syndrome in a girl with rare associations like spina bifida and diaphragmatic hernia.
Poland's syndrome is a rare congenital anomaly characterised by partial or complete absence of sternocostal head of pectoralis major muscle and anomalies of ipsilateral hand and digits. Other associated anomalies involving anterior thoracic wall, breast, diaphragm and vertebrae have also been reported in various cases. We report a case of a 10-year-old girl, with features of left-sided Poland's syndrome associated with spina bifida, dextroposition of the heart and left-sided diaphragmatic hernia. These are rare associations of Poland's syndrome. She was investigated with chest X-ray, contrast-enhanced CT of the thorax, ultrasonography of abdomen and echocardiography which helped in arriving at an accurate diagnosis and assessing all the associated abnormalities.
Department of Radiology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India.
V C
VC
Sunitha
Sathya
S
Narayanan
Pradeep Pankajakshan
PP
Nair
Manikka Lakshmanan
ML
Prakash
D002648:Child; D003914:Dextrocardia / Q000150:complications / Q000000981:diagnostic imaging*; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000000981:diagnostic imaging; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D011045:Poland Syndrome / Q000150:complications / Q000000981:diagnostic imaging*; D011859:Radiography; D011884:Radius / Q000002:abnormalities / Q000000981:diagnostic imaging; D016135:Spinal Dysraphism / Q000150:complications / Q000000981:diagnostic imaging*; D013580:Synostosis / Q000150:complications / Q000000981:diagnostic imaging*; D014457:Ulna / Q000002:abnormalities / Q000000981:diagnostic imaging