Severe Hiatal Hernia as a Cause of Failure to Thrive Discovered by Transthoracic Echocardiogram

Severe Hiatal Hernia as a Cause of Failure to Thrive Discovered by Transthoracic Echocardiogram

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A newborn infant with failure to thrive presented for murmur evaluation on day of life three due to a harsh 3/6 murmur.During the evaluation, a retrocardiac fluid filled mass was seen by transthoracic echocardiogram.The infant was also found to have a ventricular septal defect and partial anomalous Saucers pulmonary venous return.

Eventually, a large hiatal hernia was diagnosed on subsequent imaging.The infant ultimately underwent surgical repair of the hiatal hernia at a tertiary care facility.Hiatal hernias have been noted as incidental extracardiac findings in adults, but no previous literature has Lighting documented hiatal hernias as incidental findings in the pediatric population.