Premium
Fetal neurenteric cyst causing hydrops: case report and review of the literature
Author(s) -
Wilkinson C. Corbett,
Albanese Craig T.,
Jennings Russell W.,
Feldstein Vickie A.,
Goldberg James D.,
Baehner Frederick L.,
Farrell Jody A.,
Peacock Warwick J.,
Harrison Michael R.
Publication year - 1999
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/(sici)1097-0223(199902)19:2<118::aid-pd478>3.0.co;2-5
Subject(s) - medicine , respiratory distress , cyst , surgery , vaginal delivery , prenatal diagnosis , thoracentesis , fetus , obstetrics , pregnancy , pleural effusion , genetics , biology
Routine prenatal ultrasound revealed a unilocular cystic mass associated with upper thoracic hemivertebrae that grew to 6cm at 28 weeks and was associated with hydrops. A thoraco‐amniotic shunt decompressed the cyst and resolved the hydrops, but the shunt occluded 17 days later. Preterm labour led to vaginal delivery at 312/7 weeks. Postnatally, the cyst was decompressed by thoracentesis due to respiratory distress. It was resected on day four of life. Severe tracheobronchomalacia was present post‐operatively, presumably due to prenatal mass effect of the cyst. At one year of age, the child has recovered completely without adverse respiratory or neurological sequelae. Copyright © 1999 John Wiley & Sons, Ltd.