Lumbo-costo-vertebral syndrome with inguinal hernia and other anomalies

Description

A 20 day-old full-term vaginally delivered baby boy, weighing 3.25 kg, presented to the surgical department with deformity of spine and lower limbs, swelling in left groin and left lumbar region since birth. Antenatal ultrasound was not available. On examination, the child was active, crying well, lips were cyanosed and there was no pedal oedema. Cardiovascular examination revealed the presence of systolic murmur. Abdominal examination showed the presence of left lumbar and inguinal hernia (figure 1). Telipus equinovarus deformity was present bilaterally in lower limbs. Scoliosis of spine with concavity towards left side was present. Echocardiography showed tetralogy of Fallot. Ultrasound scan of the abdomen revealed the absence of left kidney, left lumbar and inguinal hernia. X-ray showed scoliosis, hemivertebrae of thoracic region, left rib anomalies, herniation of bowel loops in left lumbar region and left scrotum (figure 2).

Figure 1

Left lumbar and...

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