title: Severe Hiatal Hernia as a Cause of Failure to Thrive Discovered by Transthoracic Echocardiogram.
abstract: A newborn infant with failure to thrive presented for murmur evaluation on day of life three due to a harsh 3/6 murmur. During the evaluation, a retrocardiac fluid filled mass was seen by transthoracic echocardiogram. The infant was also found to have a ventricular septal defect and partial anomalous pulmonary venous return. Eventually, a large hiatal hernia was diagnosed on subsequent imaging. The infant ultimately underwent surgical repair of the hiatal hernia at a tertiary care facility. Hiatal hernias have been noted as incidental extracardiac findings in adults, but no previous literature has documented hiatal hernias as incidental findings in the pediatric population.
authors.affiliation: Womack Army Medical Center, Fort Bragg, NC 28310, USA.
authors.forename: Clint J
authors.initials: CJ
authors.lastname: Moore
authors.affiliation: Womack Army Medical Center, Fort Bragg, NC 28310, USA.
authors.forename: Devan A
authors.initials: DA
authors.lastname: Conley
authors.affiliation: Womack Army Medical Center, Fort Bragg, NC 28310, USA.
authors.forename: Cristóbal S
authors.initials: CS
authors.lastname: Berry-Cabán
authors.affiliation: Womack Army Medical Center, Fort Bragg, NC 28310, USA.
authors.forename: Ryan P
authors.identifier: 0000-0003-3825-2927
authors.initials: RP
authors.lastname: Flanagan