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Gastric thumbprinting: diffuse gastric wall mucosal and submucosal thickening in infants with ductal-dependent cyanotic congenital heart disease maintained on long-term prostaglandin therapy

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Abstract

Seven infants with ductal dependent cyanotic congenital heart disease are reported. All were on prostaglandin E1 therapy to maintain ductus patency. All showed chest radiographic evidence of multiple masses indenting the stomach lumen (gastric thumbprinting). Other than feeding intolerance in two patients, the findings were incidental and disappeared with cessation of PGE1 therapy. "Gastric thumbprinting" appears to be a more common consequence of PGE1 therapy than actual obstructing antral masses (antral foveolar hyperplasia).

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Authors and Affiliations

  1. Children's Hospital of Michigan, Department of Radiology, 3901 Beaubien Boulevard, Detroit, MI 48201, USA

    Aparna Joshi

  2. Children's Hospital of New York-Presbyterian, Department of Radiology, Division of Pediatric Radiology, 3959 Broadway, BHN 3-318, New York, NY 10032, USA

    Walter E. Berdon & Carrie Ruzal-Shapiro

  3. Children's Hospital of New York-Presbyterian, Department of Pediatric Cardiology, 3959 Broadway, BHN 3-318, New York, NY 10032, USA

    Constance Hayes

  4. Westchester County Medical Center, Department of Radiology, Grasslands Road, Valhalla, NY 10595, USA

    Adele Brudnicki

  5. Women's and Children's Hospital, Department of Pediatric Ultrasound, 72 King William Road, North Adelaide, SA 5006, Australia

    Gary LeQuesne

Authors
  1. Aparna Joshi
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  2. Walter E. Berdon
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  3. Adele Brudnicki
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  4. Gary LeQuesne
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  5. Carrie Ruzal-Shapiro
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  6. Constance Hayes
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Joshi, A., Berdon, W.E., Brudnicki, A. et al. Gastric thumbprinting: diffuse gastric wall mucosal and submucosal thickening in infants with ductal-dependent cyanotic congenital heart disease maintained on long-term prostaglandin therapy. Ped Radiol 32, 405–408 (2002). https://doi.org/10.1007/s00247-002-0690-y

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  • DOI: https://doi.org/10.1007/s00247-002-0690-y

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