Cervico-Mediastinal Bronchogenic Cyst Occurring in the Prenatal Period: Report of a Case

Kaji, Tatsuru; Takamatsu, Hideo; Noguchi, Hiroyuki; Tahara, Hiroyuki; Fukushige, Tomoko; Mukai, Makio; Ibara, Satoshi; Maruyama, Hideki; Yoshiyama, Kenichi

doi:10.1007/s005950070024

Cited by 5 publications

(2 citation statements)

References 15 publications

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“…The branchial arches contribute extensively to the growth of the face, oronasal cavities, palate, larynx, pharynx, and neck. 6 Congenital abnormalities of the fetal neck include those associated with fetal aneuploidies (cystic hygroma 7,8 ), the presence of embryologic remnants (thyroglossal duct and branchial cleft cysts [9][10][11][12] ), primary structural abnormalities (laryngeal cysts/ stenosis/atresia, [13][14][15][16][17] proximal esophageal atresia, 18 and bronchogenic cysts 19 ), functional abnormalities (goiters 20,21 ), benign tumors (lymphangioma, 22,23 hemangioma, 24 hemangiopericytoma, 25 and teratoma [26][27][28] ), malignant tumors (neuroblastoma 29 and rhabdomyoma 30,31 ), and an extensive array of syndromes (including Schinzel-Giedion, Yunis-Varon, and Escobar syndromes 32 ). In addition, subtle soft tissue changes of the upper posterior aspect of the fetal neck have been used in the second-trimester detection of trisomy 21 (nuchal thickness 33 Currently, a relative paucity of literature exists pertaining to precise sonographic measurements of the fetal neck.…”

Section: Discussionmentioning

confidence: 99%

Nomograms of the Fetal Neck Circumference and Area Throughout Gestation

Sherer

Sokolovski

Dalloul

et al. 2007

Journal of Ultrasound in Medicine

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Section: Discussionmentioning

confidence: 99%

Nomograms of the Fetal Neck Circumference and Area Throughout Gestation

Sherer

Sokolovski

Dalloul

et al. 2007

Journal of Ultrasound in Medicine

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“…Antenatal discovery of a bronchogenic cyst is rare and localization is generally intrathoracic [ 9 , 10 ]. One case has been reported of a cervico-mediastinal bronchogenic cyst detected by a cervical mass on prenatal US [ 11 ]. Undetected cervical bronchogenic cyst may also cause polyhydramnios by esophageal compression [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Neonatal respiratory distress syndrome revealing a cervical bronchogenic cyst: a case report

et al. 2015

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BackgroundBronchogenic cyst is a congenital malformation, rarely located in the cervical region and almost never involved in a neonate with acute respiratory distress in the delivery room.Case presentationA female newborn with respiratory distress syndrome caused by a large left cervical mass. Intubation was difficult due to tracheal deviation. Magnetic resonance imaging confirmed a left cervical cyst displacing the trachea and esophagus laterally. Surgical excision was performed via a cervical approach on the 5th day, and pathological examination revealed a bronchogenic cyst. The patient's course was complicated by left vocal cord paralysis and necrotic lesions in the glottic and subglottic regions; she required a tracheostomy on the 13th day. Inflammatory stenosis in the subglottic region required balloon dilation once, 20 days later. Proximal esophageal stenosis induced transient upper airway obstruction with salivary stasis. Decannulation was performed at 2 months and the patient was discharged 10 days later.ConclusionA bronchogenic cyst can exceptionally obstruct the airways in the neonatal period. Surgical excision is necessary, but postoperative complications may occur if the cyst is in close contact with the trachea and esophagus, including necrotic and stenotic lesions of the upper aerodigestive tract. In those situations, tracheostomy may be necessary for mechanical ventilation weaning and the initiation of oral feeding.

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P40.10: Nomograms of the fetal neck circumference and area throughout gestation

Sherer

Sokolovski

Dalloul

et al. 2007

Ultrasound in Obstet & Gyne

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Objectives: To evaluate the assessment methods for fetal lip/palate on 3D ultrasound with various techniques and examination planes. Methods: Stored 3D volumes of fetuses with postnatal confirmation of cleft lip and/or palate were reviewed. The abnormalities at birth were compared with the antenatal 3D ultrasound findings in the following planes obtained on techniques previously described: 1. The axial plane 2. The sagittal plane 3. The coronal plane 4. Oblique axial plane 5. Oblique sagittal plane 6. Targeted reverse face view Results: There were limitations to each technique or examination plane in antenatal assessment of fetal lip/palate on 3D ultrasound. Different parts of the fetal lip and palate could be visualized with each of the above planes. The anterior part of the palate and the fetal lips are better seen in the axial, sagittal and coronal planes. The oblique axial, oblique sagittal planes and the targeted reverse face view allowed better visualization of the hard and the soft palates. The presence of facial cleft led to a distortion of the anatomy. The use of a combination of these planes allowed a more complete assessment of fetal lip and palate from various angles. Conclusions:The use of a combination of planes and techniques provides more information than the use of a single one in evaluation of fetal cleft lip/palate on 3D ultrasound. Objectives: New publications are on the way to say that cleft palate can be studied with ultrasound, but lets us think it is not accessible in routine, and only with 3D. Our experience lets us think the method we applied since 2002 is applicable in routine, without loss of time and reliable for osseous palate pathology. Method: We described our method based on the visualization of the posterior wall of the osseous palate applied since 2002 on every fetus from 18 to 35 weeks (more than 8000 patients), and earlier now (sometimes 15 weeks). Recently we registered the time to get the posterior wall on 200 fetuses from the last scan (generally the inter orbital scan). Two non-experimented practitioners had 1 minute to obtain it. We also studied the reliability since 2002. P40.08 Results:The visualization of the posterior wall was obtained in all cases easily, in less than 20 seconds in more than 95% of the cases, generally inferior at 10 sec. The learning of this method was considered as successful because after 20 patients, the time to get the scan was about the same as the experimented practitioner. Based on the normal visualization of the posterior wall since 2002 we did not have any false negative or false positive on the integrity of the osseous palate. Based on this scan, we could also describe cleft, short and ogival palate. All these findings were confirmed after birth. We sometimes used 3D 'thick view', as it is easy to get when we have the posterior wall (generally less than 10 sec.) giving the whole palate on the same scan, but it did not change the diagnosis. The sonographic diagnosis of fetal micrognathia has been largely subjective. We observed predominanc...

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Cervico-Mediastinal Bronchogenic Cyst Occurring in the Prenatal Period: Report of a Case

Cited by 5 publications

References 15 publications

Nomograms of the Fetal Neck Circumference and Area Throughout Gestation

Nomograms of the Fetal Neck Circumference and Area Throughout Gestation

Neonatal respiratory distress syndrome revealing a cervical bronchogenic cyst: a case report

P40.10: Nomograms of the fetal neck circumference and area throughout gestation

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