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CASE REPORT
Lung herniation: an uncommon presentation of Poland's syndrome in a neonate at birth
  1. Suresh Chandran1,
  2. Krishna Gopagondanahalli Revanna1,
  3. Dinesh Ari1,
  4. Aftab Ahmed Rana2
  1. 1Department of Neonatology, KK Women's and Children's Hospital, Singapore, Singapore
  2. 2Department of Neonatology, RIPAS Hospital, Brunei Darussalam
  1. Correspondence to Dr Suresh Chandran, schandran1312{at}yahoo.co.uk, nehasuresh.chandran{at}gmail.com

Summary

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.

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