Document Detail

Hiatus/paraesophageal hernias in neonatal Marfan syndrome.
MedLine Citation:
PMID:  9382135     Owner:  NLM     Status:  MEDLINE    
We report on an infant with neonatal Marfan syndrome (NMS) and hiatus/paraesophageal hernia who presented to a university hospital with an unusual early complication of this connective tissue disorder. An abnormal course of the nasogastric tube was noted on the first day of life by a radiograph of the chest and abdomen performed for bloody gastric drainage. The question of esophageal perforation was raised. Subsequent contrast study demonstrated a large hiatus/paraesophageal hernia with pronounced gastroesophageal reflux (GER). A part of the hernia was positioned posterior and to the right of the gastroesophageal junction (GEJ), presumably the location of the nasogastric tube as noted on the initial films. Although characterized by cardiac/aortic abnormalities, NMS can be a difficult diagnosis and should be considered in any infant with hiatus/ paraesophageal hernia with or without GER.
S K Parida; V M Kriss; B D Hall
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of medical genetics     Volume:  72     ISSN:  0148-7299     ISO Abbreviation:  Am. J. Med. Genet.     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1997-11-12     Completed Date:  1997-11-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7708900     Medline TA:  Am J Med Genet     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  156-8     Citation Subset:  IM    
Department of Pediatrics, University of Kentucky Medical Center, Lexington, USA.
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MeSH Terms
Gastroesophageal Reflux / complications,  radiography
Hernia, Hiatal / complications*,  radiography
Infant, Newborn
Marfan Syndrome / complications*,  radiography

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