Newborn with diaphragmatic hernia in the urgent therapy block. Surgeon palpated some mass in the abdomen and called the ultrasound. At sonography all abdomen and most of left chest consists of heterogeneous (cystic-solid) mass. At CFM abdominal part of the mass has well blood supply and no blood supply visualized in the chest part of the mass. About 5 ml of free fluid with echogenic dot particles in the subhepatic space. For verification of the abdominal part of the mass under ultrasound control was instilled fluid thru the stomach-pump - it is defined as a thin tubular structure compressed by the mass to the liver. Then was instilled fluid per rectum - fluid visualized as the content in the tubular structure in the mid-abdomen(center of mass). But some hollow structures weren't look like an intestine, they consisted of filiform structures which moved in time with heart beat and respiration movements. Surgeon made a suspicion that mass is an intestine with oedema of mesentery and omentum. I told honestly that I can't differentiate this mass from neo-process. In my memory was several cases of carcinomatosis with an identical sonographic picture. Child urgently taken into the operative intervention room. Intraoperative diagnosis - subtotal intestine necrosis. Surgeon tell that it's a very rare case... external link | 
