Fetal neurenteric cyst causing hydrops: case report and review of the literature.
Routine prenatal ultrasound revealed a unilocular cystic mass associated with upper thoracic hemivertebrae that grew to 6 cm 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 31 2/7 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.
Wilkinson
C C
CC
Fetal Treatment Center, University of California, San Francisco 94143-0570, USA.
Albanese
C T
CT
Jennings
R W
RW
Feldstein
V A
VA
Goldberg
J D
JD
Baehner
F L
FL
Farrell
J A
JA
Peacock
W J
WJ
Harrison
M R
MR
D000328:Adult; D003937:Diagnosis, Differential; D004487:Edema / Q000209:etiology*; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D012127:Respiratory Distress Syndrome, Newborn / Q000209:etiology / Q000628:therapy; D016136:Spina Bifida Occulta / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D013904:Thoracic Vertebrae; D016216:Ultrasonography, Prenatal