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JAMA Pediatrics Clinical Challenge
November 2013

Trunklike Projection in 10-Day-Old Girl

Author Affiliations
  • 1Department of Otorhinolaryngology and Head-Neck Surgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India
  • 2Department of Pediatrics, JLN Medical College and Hospital, Ajmer, Rajasthan, India
  • 3Department of Otorhinolaryngology and Head-Neck Surgery, JLN Medical College and Hospital, Ajmer, Rajasthan, India
JAMA Pediatr. 2013;167(11):1081-1082. doi:10.1001/jamapediatrics.2013.2556

A 10-day-old, full-term girl presented with a trunklike projection from the medial canthus of the left eye (Figure). There was no other craniofacial anomaly and bilateral nasal cavities were normal. The trunk was 2.5 cm in length connected with a thin pedicle. There was mucus discharge from the opening. There was no history of teratogenic exposure, no family history of congenital defects, and no history of consanguinity. Computed tomography (CT) scan and magnetic resonance imaging (MRI) showed no other associated craniofacial abnormality.

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