Abstract Respiratory distress and cardiomegaly in the immediate postnatal period are most frequently due to primary disease of the lungs or the vascular system. Herniation of the liver through the diaphragm into the chest cavity is rare, but can cause respiratory embarrassment and cyanosis.1 Hypoplastic left heart syndrome, coarctation of the aorta, and Ebstein's anomaly of the tricuspid valve all may manifest cardiomegaly and respiratory distress.2 Sepsis,3 hypocalcemia,4 and asphyxia5 have also produced such findings. The following case report is one of congenital liver herniation manifesting respiratory distress and generalized cardiomegaly. Previously reported cases of liver herniation have not mentioned cardiomegaly as an early finding. Report of a Case.—A 6-hour-old boy was admitted because of progressive tachypnea and cyanosis beginning one hour after birth. Vaginal delivery was uneventful, with Apgar scores of 8 and 9 at one and five minutes, respectively. Birth weight was 3,843.8 References 1. Ravitch MM, Handelsman JC: Defects in right diaphragm of infants and children with herniation of liver . Arch Surgery 64:794-802, 1952.Crossref 2. Moss AJ, Adams F: Heart Disease in Infants, Children, and Adolescents . Baltimore, Williams & Wilkins Co, 1977, p 262. 3. Postel J, Schloerb PR: Cardiac depression in bacteremia . Ann Surg 186:74-82, 1977.Crossref 4. Roberton NR, Smith MA: Early neonatal hypocalcemia . Arch Dis Child 50:604-609, 1975.Crossref 5. Rowe RD, Hoffman T: Transient myocardial ischemia of the newborn infant: A form of severe cardiorespiratory distress in full term infants . J Pediatr 79:243-250, 1972.Crossref 6. Bradley JE, Greiner DJ: Diaphragmatic hernia . Am J Dis Child 66:143-148, 1943. 7. Kaufman SA, Madoff IM: Intrathoracic accessory lobe of liver . Ann Intern Med 53:403-407, 1960.Crossref 8. Craighead C, Strug L: Diaphragmatic deficiency in retrocostoxiphoid area . Surgery 44:1062-1069, 1958. 9. Campbell J: The diaphragm in roentgenology of the chest . Rad Clin North Am 1:395-410, 1963. 10. Armstrong RG, Stanford W: Liver scan in the diagnosis of liver hernia . Acad Fam Pract Gen Pract 1:87-89, 1970. 11. Berger RL, Rodriquez-Aquero J, Madoff IM: Herniation of the liver through the foramen of Morgagni . N Engl J Med 276:243-245, 1962.Crossref 12. Vaughn CC: Diagnosis of localized eventration . Dis Chest 54:467-469, 1968.Crossref
American Journal of Diseases of Children – American Medical Association
Published: Nov 1, 1980
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera