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Developmental and Genetic Considerations in a Neonate With Pectus Excavatum, Bilateral Hydroceles, Indirect Inguinal Hernia, and Type 2 Ileal Atresia

Year: 2025

Type: article

Abstract: This case study describes a combination of congenital anomalies observed in a full-term male neonate, including pectus excavatum, bilateral hydroceles, an indirect inguinal hernia, and type 2 ileal atresia. The neonate, delivered by cesarean section at 39 weeks and one day, presented with pectus excavatum and bilateral hydroceles, confirmed both prenatally and postnatally. Postpartum, the neonate experienced feeding difficulties and failed to pass meconium within 24 hours of birth. Diagnostic imaging revealed dilated bowel loops consistent with intestinal obstruction, necessitating surgical intervention for ileal atresia. At a four-month follow-up, the patient was found to have developed an inguinal hernia. This constellation of anomalies has not been previously documented, highlighting the importance of comprehensive evaluation, multidisciplinary care, and patient counseling in such cases. Furthermore, this report underscores the need for further investigation into potential genetic syndromes, developmental disruptions in mesodermal-derived structures, or in utero vascular insults that may underlie the concurrent presentation of these anomalies.

Source: Cureus

DOI: 10.7759/cureus.78350

Authors: Natalie Nagib, Daniela Avila, Abby L Denham, Pedro Montanez

Institutions: Lake Erie College of Osteopathic Medicine, AdventHealth Sebring

Language: English

Topic: Congenital Anomalies and Fetal Surgery

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4407062923