Indian Journal of Medical Research

CLINICAL IMAGE
Year
: 2014  |  Volume : 140  |  Issue : 1  |  Page : 152--153

Vascular ring with a Kommerell's diverticulum: Neonatal presentation with oesophageal symptoms


Venkatraman S Bhat, Vimal Raj 
 Department of Radiology, Narayana Health Shaw Muzumdar Cancer Center Bangalore, Bommasandra, Bangalore 560 099, India

Correspondence Address:
Venkatraman S Bhat
Department of Radiology, Narayana Health Shaw Muzumdar Cancer Center Bangalore, Bommasandra, Bangalore 560 099
India




How to cite this article:
Bhat VS, Raj V. Vascular ring with a Kommerell's diverticulum: Neonatal presentation with oesophageal symptoms .Indian J Med Res 2014;140:152-153


How to cite this URL:
Bhat VS, Raj V. Vascular ring with a Kommerell's diverticulum: Neonatal presentation with oesophageal symptoms . Indian J Med Res [serial online] 2014 [cited 2020 Aug 12 ];140:152-153
Available from: http://www.ijmr.org.in/text.asp?2014/140/1/152/140108


Full Text

A syndromic, term 2-day-old female neonate presented to the Narayana Multispeciality Hospital, Paediatric outpatient, in a0 ugust 2013 with swallowing difficulty and drooling of saliva. Clinical evaluation revealed crepitations at lung bases. Clinical cardiovascular evaluation and subsequent micro-laryngobronchoscopy was normal. Echocardiography revealed moderate patent ductus arteriosus (PDA), atrial septal defect (ASD) and right aortic arch (RAA). CT angiography confirmed RAA with aberrant left subclavian, associated with a large Kommerell's diverticulum (KD) [Figure 1]A, B Prominent posterior impression of oesophagus was demonstrated on the CT examination (arrow) [Figure 1]C. Three dimensional (3D) volume rendered CT images illustrated left ductal remnant [Figure 2]A and large KD causing pressure on the oesophagus [Figure 2]B. Contrast oesophagography confirmed oesophageal impression, swallowing dysfunction and major gastro-oesophageal reflux. In view of syndromic association and oesophageal dysfunction addition to partial compression, patient was conservatively treated on anti-reflux management.{Figure 1}{Figure 2}

 Acknowlegdment



Authors acknowledge neonatology consultant Dr Ravi Sharma for providing necessary clinical input and Dr Sejal Shah for providing echocardiography details.