Pitfall : anomalous umbilical vein and absent ductus venosus in association with right congenital diaphragmatic hernia

Congenital abnormalities of the umbilical venous system are rare. A case of fatal right congenital diaphragmatic hernia (CDH) in association with an anomalous umbilical vein bypassing the liver and directly entering the right atrium is presented. The ductus venosus was absent. Although much of the l...

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Bibliographic Details
Published in:Pediatric radiology 1997-08, Vol.27 (8), p.651-653
Main Authors: STROUSE, P. J, DI PIETRO, M. A, BARR, M. JR
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Diagnosis, Differential
Diseases of mother, fetus and pregnancy
Fatal Outcome
Female
Gynecology. Andrology. Obstetrics
Hernia, Diaphragmatic - complications
Hernia, Diaphragmatic - diagnostic imaging
Hernias, Diaphragmatic, Congenital
Humans
Infant, Newborn
Liver - blood supply
Male
Medical sciences
Pregnancy
Pregnancy. Fetus. Placenta
Radiography, Thoracic
Umbilical Veins - abnormalities
Umbilical Veins - diagnostic imaging
Umbilical Veins - embryology
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Summary:Congenital abnormalities of the umbilical venous system are rare. A case of fatal right congenital diaphragmatic hernia (CDH) in association with an anomalous umbilical vein bypassing the liver and directly entering the right atrium is presented. The ductus venosus was absent. Although much of the liver was within the right hemithorax, radiographs showed an apparently normal umbilical venous catheter (UVC) course, suggesting a normally positioned liver and mitigating against the diagnosis of CDH. Aberrant umbilical drainage, yielding a falsely normal appearing UVC course, may delay the diagnosis of CDH.
ISSN:0301-0449
1432-1998
DOI:10.1007/s002470050205