Umbilical vein anomalies are a rare congenital defect, which have been associated with absent ductus venosus, with few cases also involving a congenital diaphragmatic hernia. We describe a case of postnatal development of an anterior diaphragmatic hernia of Morgagni in a four-year-old patient diagnosed prenatally with mesocardia, absent ductus venosus with a large umbilical vein, a large secundum atrial septal defect, and patent ductus arteriosus.
JowettVParamasivamGSealeAChoudhryMYatesRGardinerH. Diaphragmatic hernia: a postnatal complication of anomalous drainage of the umbilical vein. Ultrasound Obstet Gynecol. 2013;41(5):589–591.
2.
AchironRHegeshJYagelSLipitzSCohenSBRotsteinZ. Abnormalities of the fetal central veins and umbilico-portal system: prenatal ultrasonographic diagnosis and proposed classification. Ultrasound Obstet Gynecol. 2000;16(6):539–548.
3.
YagelSKivilevitchZCohenSM, et al.The fetal venous system, part I: normal embryology, anatomy, hemodynamics, ultrasound evaluation and Doppler investigation. Ultrasound Obstet Gynecol. 2010;35(6):741–750.
4.
TakeuchiMNakayamaMTamuraAKitajimaH. Hydrops fetalis due to agenesis of the ductus venosus: new hepatic histological features. Pediatr Dev Pathol. 2009;12(3):239–243.
5.
ChiASableCCummingsSMartinG. An aberrant umbilical vein draining into the coronary sinus. Pediatr Cardiol. 2002;23(6):655–657.
6.
SauASharlandGSimpsonJ. Agenesis of the ductus venosus associated with direct umbilical venous return into the heart—case series and review of literature. Prenat Diagn. 2004;24(6):418–423.
7.
FalkensammerCBAyresNAAltmanCA, et al.Fetal cardiac malposition: incidence and outcome of associated cardiac and extracardiac malformations. Am J Perinatol. 2008;25(5):277–281.
8.
LevMLiberthsonRRGoldenJGEcknerFAArcillaRA. The pathologic anatomy of mesocardia. Am J Cardiol. 1971;28(4):428–435.