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Pediatric Cardiology

, Volume 40, Issue 8, pp 1759–1760 | Cite as

Herniated Liver Mimicking Right Atrial Mass

  • Kurath-Koller StefanEmail author
  • Grangl Gernot
  • Koestenberger Martin
  • Riccabona Michael
Images in Pediatric Cardiology
  • 68 Downloads

Abstract

In a newborn that underwent surgery due to omphalocele, postoperative echocardiography revealed an accidental finding of a right atrial (RA) mass. Echocardiography prior to surgery was inconspicuous. Applying color Doppler, a pulsatile flow exiting the mass could be depicted and a tubular structure lancing through the mass. Thrombus formation was suspected. However, sonographic tissue texture of this formation equaled liver tissue. Abdominal ultrasound revealed protrusion of hepatic tissue through a diaphragmatic hernia indenting the RA mimicking a thrombus.

Keywords

Cardiac mass Pediatric Thrombus Omphalocele Liver 

Abbreviations

4CV

Four-chamber view

CVC

Central venous catheter

MRI

Magnetic resonance imaging

RA

Right atrium

Notes

Funding

None.

Compliance with Ethical Standards

Conflict of interest

All the authors declare no conflict of interest and no relationship with industry. All the authors disclose any prior presentation of study data as an abstract or poster.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Supplementary material

Supplementary file1 (MP4 1727 kb)

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Supplementary file2 (TIFF 796 kb)
246_2019_2186_MOESM3_ESM.tif (601 kb)
Supplementary file3 (TIFF 602 kb)

Reference

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    Adams AJ, Guck AN, Shillcutt SK (2019) Right atrial inversion mimicking right atrial mass in the setting of cardiac tamponade. J Cardiothorac Vasc Anesth.  https://doi.org/10.1053/j.jvca.2019.03.002 CrossRefPubMedGoogle Scholar
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    Male C, Chait P, Andrew M, Hanna K, Julian J, Mitchell L (2003) PARKAA Investigators. Central venous line-related thrombosis in children: association with central venous line location and insertion technique. Blood; 101(11): 4273–4278.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Pediatric Cardiology, Department of PediatricsMedical University GrazGrazAustria
  2. 2.Division of Pediatric Radiology, Department of RadiologyMedical University GrazGrazAustria

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