title: Fetal neurenteric cyst causing hydrops: case report and review of the literature.
abstract: 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.
authors.affiliation: Fetal Treatment Center, University of California, San Francisco 94143-0570, USA.
authors.forename: C C
authors.initials: CC
authors.lastname: Wilkinson
authors.forename: C T
authors.initials: CT
authors.lastname: Albanese
authors.forename: R W
authors.initials: RW
authors.lastname: Jennings
authors.forename: V A
authors.initials: VA
authors.lastname: Feldstein
authors.forename: J D
authors.initials: JD
authors.lastname: Goldberg
authors.forename: F L
authors.initials: FL
authors.lastname: Baehner
authors.forename: J A
authors.initials: JA
authors.lastname: Farrell
authors.forename: W J
authors.initials: WJ
authors.lastname: Peacock
authors.forename: M R
authors.initials: MR
authors.lastname: Harrison
mesh_terms: 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