European J Pediatr Surg Rep

. 2024 Oct 3;12(1):e54-e57.

 doi: 10.1055/s-0044-1791569. eCollection 2024 Jan. https://pubmed.ncbi.nlm.nih.gov/39363938/

Video of the Month: Pulsating Umbilicus in a Neonate with Left Ventricular Diverticulum

M Moormann ¹, M Vollroth ², M Lacher ¹, H Stepan ³, D Gräfe ⁴, U Thome ⁵, S Rützel ⁵, M Weidenbach ⁶, I Martynov ¹, C Pügge ^2 5

Affiliations Expand

• PMID: 39363938
• PMCID: PMC11449565
• DOI: 10.1055/s-0044-1791569

Abstract

Left ventricular diverticulum (LVD) is a rare malformation presenting in 0.05% of all congenital cardiac anomalies. It is associated with additional cardiac and extracardiac malformations. We report on a female neonate with prenatally diagnosed heterotaxia and dextrocardia who was born with a pulsating supraumbilical mass. Echocardiography revealed a diverticulum originating from the left ventricle, which was connected to the umbilicus. Magnetic resonance imaging confirmed an LVD without evidence of a diaphragmatic hernia on the day of life 9. The child underwent laparotomy/lower sternotomy, and the diverticulum and epigastric hernia were closed. The postoperative course was uneventful, and the girl was discharged on the 10th postoperative day. In a neonate with a pulsatile supraumbilical mass, the diagnosis of a congenital LVD should be taken into consideration. The treatment is straightforward and was successful in this single case.

Keywords: left ventricular diverticulum; pentalogy of Cantrell; pulsating umbilicus.

The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ).