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Multidetector computed tomography evaluation of secondary hepatopulmonary fusion in a neonate

  • Umakanth Khatwa
    Affiliations
    Department of Pulmonology, Children's Hospital Boston and Harvard Medical School, Boston, MA 02115, USA
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  • Edward Y. Lee
    Correspondence
    Corresponding author. Department of Radiology, Children's Hospital Boston and Harvard Medical School, 300 Longwood Ave., Boston, MA 02115, USA. Tel.: +1 314 255 3340.
    Affiliations
    Department of Radiology, Children's Hospital Boston and Harvard Medical School, Boston, MA 02115, USA
    Search for articles by this author

      Abstract

      Hepatopulmonary fusion is a rare condition in which a dense adhesion occurs between the right lung and herniated hepatic parenchyma in patients with right-sided congenital diaphragmatic hernia. Plain radiographic and magnetic resonance imaging (MRI) findings of hepatopulmonary fusion in a neonate have been reported in a retrospective study with a small patient population and a case report. However, to our knowledge, there is no report regarding the secondary hepatopulmonary fusion (after right-sided congenital diaphragmatic hernia repair) evaluated with multidetector computed tomography (MDCT) in a neonate. We report a case of secondary hepatopulmonary fusion in a neonate, in which multiplanar and three-dimensional (3D) images were helpful in delineating the precise anatomy for preoperative evaluation. Understanding the diagnostic limitations of plain radiographs and MRI, the use of MDCT with its multiplanar and 3D imaging may emerge as a useful noninvasive imaging modality in the evaluation of possible hepatopulmonary fusion in pediatric patients with right-sided congenital diaphragmatic hernia.

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