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CASE REPORT
Left-sided Poland's syndrome in a girl with rare associations like spina bifida and diaphragmatic hernia
  1. Sunitha V C1,
  2. Sathya Narayanan1,
  3. Pradeep Pankajakshan Nair2,
  4. Manikka Lakshmanan Prakash1
  1. 1Department of Radiology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
  2. 2Department of Neurology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
  1. Correspondence to Dr Pradeep Pankajakshan Nair, drpradeeppnair17{at}gmail.com

Summary

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.

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