Stefan Kurath-Koller, Gernot Grangl, Martin Koestenberger, Michael Riccabona
Division of Pediatric Cardiology, Department of Pediatrics, Medical University Graz, Auenbruggerplatz 34/2, 8036, Graz, Austria.
Division of Pediatric Radiology, Department of Radiology, Medical University Graz, Graz, Austria.
Pediatr Cardiol. 2019 Dec;40(8):1759-1760. doi: 10.1007/s00246-019-02186-0. Epub 2019 Aug 22.
In a newborn that underwent surgery due to omphalocele, postoperative echocardiography revealed an accidental finding of a right atrial (RA) mass. Echocardiography prior to surgery was inconspicuous. Applying color Doppler, a pulsatile flow exiting the mass could be depicted and a tubular structure lancing through the mass. Thrombus formation was suspected. However, sonographic tissue texture of this formation equaled liver tissue. Abdominal ultrasound revealed protrusion of hepatic tissue through a diaphragmatic hernia indenting the RA mimicking a thrombus.
在一名因脐膨出接受手术的新生儿中，术后超声心动图意外发现右心房（RA）有一肿块。手术前的超声心动图未发现异常。应用彩色多普勒，可显示有搏动性血流从肿块中流出，且有一管状结构贯穿肿块。怀疑有血栓形成。然而，该结构的超声组织质地与肝组织相同。腹部超声显示肝组织通过膈疝突出，压迫右心房，形似血栓。
