Case Report: Imaging findings of neonatal horseshoe lung with multiple system malformations - Summary - MDSpire

Case Report: Imaging findings of neonatal horseshoe lung with multiple system malformations

  • By

  • Weixiu Wang

  • Haiyan Sun

  • Yalan Wu

  • Rongpin Li

  • June 25, 2026

  • 0 min

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Objective:

To report a neonatal case of horseshoe lung (HL) complicated with scimitar syndrome, VACTERL association, and intestinal malrotation, enhancing understanding of HL and its associated anomalies.

Approach:
  • Case Description: A premature female neonate presented with respiratory distress and multiple congenital anomalies, including HL, scimitar syndrome, and intestinal malrotation.
  • Imaging Techniques: Multiple imaging modalities, including echocardiography, abdominal ultrasonography, thoracoabdominal x-ray, and chest CTA, were utilized for comprehensive evaluation.
Key Findings:
  • The patient exhibited horseshoe lung with abnormal bronchial branching and pulmonary hypoplasia, identified through various imaging modalities.
  • Associated anomalies included scimitar syndrome, complex cardiovascular malformations, duodenal obstruction, and multiple vertebral anomalies.
  • Surgery was performed to relieve gastrointestinal obstruction, revealing annular pancreatic tissue.
Interpretation:

The coexistence of HL with various systemic anomalies presents challenges for clinical diagnosis and management.

Limitations:
  • The case study is based on a single patient, limiting generalizability to broader populations.
  • Long-term outcomes and prognosis were not assessed in the report.
Conclusion:

This case highlights the complexity of diagnosing and managing HL in the context of multiple congenital anomalies.

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