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Accessory liver in an infant with congenital diaphragmatic hernia
H A Beiler1, C Sergi, G Wagner
1Department of Pediatric Surgery, Institute of Pathology, University of Heidelberg, Germany.
Insights
Congenital diaphragmatic hernia (CDH) can present with rare liver anomalies. This case highlights a unique instance of accessory supradiaphragmatic liver in an infant with CDH, successfully managed with a positive long-term outcome.
Area of Science:
- Pediatric Surgery
- Developmental Biology
- Medical Imaging
Background:
- Congenital diaphragmatic hernia (CDH) affects 1 in 2,400 to 5,000 live births.
- Associated anomalies occur in 30-35% of CDH cases.
- Understanding rare presentations is crucial for surgical planning.
Observation:
- A neonate presented with congenital diaphragmatic hernia (CDH).
- An unusual finding was an accessory supradiaphragmatic liver.
- This accessory liver possessed separate vascularization originating from the thoracic aorta.
Findings:
- The study discusses the potential pathogenesis of this rare congenital malformation.
- Surgical intervention was performed for the CDH and associated anomaly.
- The infant experienced an uneventful postoperative course.
Implications:
- This case expands the spectrum of known CDH-associated anomalies.
- It underscores the importance of detailed preoperative imaging and surgical assessment.
- Successful management suggests favorable outcomes are possible even with complex presentations.
Abstract:
Incidence of congenital diaphragmatic hernia (CDH) ranges from 1 in 2,400 to one in 5,000 live births. Associated anomalies in CDH are approximately 30% to 35%. The authors report on an infant with CDH and an accessory supradiaphragmatic liver with separate vascularization from the thoracic aorta. The pathogenesis of this malformation is discussed. The postoperative course and the follow-up of the child over 5 years was completely uneventful.