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Am J Perinatol 2001; 18(8): 441-446
DOI: 10.1055/s-2001-18788
ORIGINAL ARTICLES

Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Lung Agenesis in a Neonate Presenting with Contralateral Mediastinal Shift

Simmi K. Ratan1 , Shabnam Bhandari Grover2
  • 1Department of Pediatric Surgery, Safdarjung Hospital, New Delhi, India
  • 2Department of Radiology, Safdarjung Hospital, New Delhi, India
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Publication History

Publication Date:
04 December 2001 (online)

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ABSTRACT

A neonate with right lung agenesis presenting with respiratory distress is described. The unusual radiological features were contralateral mediastinal shift (in contrast to expected ipsilateral shift) and diaphragmatic eventration on the affected side. Mediastinal shift to the opposite side was due to intrathoracic hepatic herniation under a high placed eventrated diaphragm. Both these features have not been reported in association with lung agenesis to date. The authors have discussed other causes of respiratory distress in newborns that can cause mediastinal shift and have urged a high degree of clinical suspicion to pick up the cases with lung agenesis. The newer diagnostic modalities and the causes of mortality in neonates with this anomaly have also been highlighted.

KEYWORD

Neonate - mediastinal shift - diaphragmatic eventration - hepatic herniation

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