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CC BY 4.0 · European J Pediatr Surg Rep. 2024; 12(01): e54-e57
DOI: 10.1055/s-0044-1791569
Case Report

Video of the Month: Pulsating Umbilicus in a Neonate with Left Ventricular Diverticulum

M. Moormann
1   Department of Pediatric Surgery, Leipzig University, Leipzig, Germany
,
M. Vollroth
2   Department of Cardiac Surgery, Heart Center, Leipzig University, Leipzig, Germany
,
M. Lacher
1   Department of Pediatric Surgery, Leipzig University, Leipzig, Germany
,
H. Stepan
3   Department of Obstetrics, Leipzig University, Leipzig, Germany
,
D. Gräfe
4   Department of Pediatric Radiology, Leipzig University, Leipzig, Germany
,
U. Thome
5   Department of Neonatology, Leipzig University, Leipzig, Germany
,
S. Rützel
5   Department of Neonatology, Leipzig University, Leipzig, Germany
,
M. Weidenbach
6   Department of Pediatric Cardiology, Heart Center, Leipzig University, Leipzig, Germany
,
I. Martynov
1   Department of Pediatric Surgery, Leipzig University, Leipzig, Germany
,
C. Pügge
2   Department of Cardiac Surgery, Heart Center, Leipzig University, Leipzig, Germany
5   Department of Neonatology, Leipzig University, Leipzig, Germany
› Author Affiliations Funding None.
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Abstract

Left ventricular diverticulum (LVD) is a rare malformation presenting in 0.05% of all congenital cardiac anomalies. It is associated with additional cardiac and extracardiac malformations. We report on a female neonate with prenatally diagnosed heterotaxia and dextrocardia who was born with a pulsating supraumbilical mass. Echocardiography revealed a diverticulum originating from the left ventricle, which was connected to the umbilicus. Magnetic resonance imaging confirmed an LVD without evidence of a diaphragmatic hernia on the day of life 9. The child underwent laparotomy/lower sternotomy, and the diverticulum and epigastric hernia were closed. The postoperative course was uneventful, and the girl was discharged on the 10th postoperative day. In a neonate with a pulsatile supraumbilical mass, the diagnosis of a congenital LVD should be taken into consideration. The treatment is straightforward and was successful in this single case.

Keywords

left ventricular diverticulum - pulsating umbilicus - pentalogy of Cantrell


Publication History

Received: 26 June 2024

Accepted: 01 August 2024

Article published online:
03 October 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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