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Case Reports
. 2013 Aug 6:2013:bcr2013200106.
doi: 10.1136/bcr-2013-200106.

Lung herniation: an uncommon presentation of Poland's syndrome in a neonate at birth

Suresh Chandran  1 , Krishna Gopagondanahalli Revanna, Dinesh Ari, Aftab Ahmed Rana
Affiliations
Case Reports

Lung herniation: an uncommon presentation of Poland's syndrome in a neonate at birth

Suresh Chandran et al. BMJ Case Rep. .

Abstract

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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Figures

Figure 1
Figure 1
Infant with Poland's syndrome showing the lung herniation on expiration.
Figure 2
Figure 2
Infant showing hypoplasia of the left pectoral muscles and areola. On expiration intercostal recession is noted.
Figure 3
Figure 3
X-ray of the chest with hyperlucent left lung fields and dextrocardia.
See this image and copyright information in PMC

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