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CASE REPORT
Hepatic heterotopia in congenital diaphragmatic anomaly
  1. Ramnik V Patel1,2,
  2. Veena Wadhwani3,
  3. Josephine Wyatt-Ashmead4,
  4. Robin M Abel5
  1. 1Department of Paediatric Urology, University College London Hospitals NHS Foundation Trust, London, UK
  2. 2Department of Paediatric Urology, Great Ormond Street Children Hospital NHS Trust, London, UK
  3. 3Department of NICU, Queen Charlotte & Chelsea Hospital, London, UK
  4. 4Department of Paediatric Histopathologist, Imperial College of Medicine and Hammersmith Hospitals, London, UK
  5. 5Department of Paediatric Surgery, Imperial College of Medicine and Hammersmith Hospitals, London, UK
  1. Correspondence to Ramnik V Patel, ramnik{at}doctors.org.uk

Summary

An antenatally diagnosed case of a left congenital diaphragmatic hernia is reported. The diaphragmatic eventration hernia sac consisted of a sheet of ectopic liver tissue in continuity with a hypoplastic left lobe which formed the medial anterior and posterior walls of the hernia is presented. The operative management of this combination of defects has not previously been described in English literature. Embryological considerations, limitations of accurate preoperative diagnosis, technical challenge in the operative repair of the defect and need for drainage is discussed.

https://doi.org/10.1136/bcr-2013-200151

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