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Boletín Médico del Hospital Infantil de México

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2005, Number 3

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Bol Med Hosp Infant Mex 2005; 62 (3)

Bronchogenic cyst, prenatal diagnosis.

Quezada-Salazar CA, Navarrete-Arellano M
Full text How to cite this article

Language: Spanish
References: 7
Page: 202-206
PDF size: 145.98 Kb.


Key words:

Mediastinal mass, bronchogenic cyst, newborn, computed tomography.

ABSTRACT

Introduction. The bronchogenic cyst is a cystic structure limited by bronchial epithelium the incidence is unknown and it is not very often diagnosed in the neonatal period.
Case report. Fetus with cystic mass in the left hemithorax above the cardiac silhouette with suspicion of the left diaphragmatic hernia vscystic adenomatoid disease based on prenatal ultrasound. At birth female eutroficterm newborn with birth weight of 3 030 g, length 49 cm, Apgar 8-9. The AP and lateral chest x ray confirmeda left mediastinal mass, above the cardiac silhouette, a CT scan confirmed the presence of a cystic mass in the left mediastinum at the level of T4 and T5. A left thoracotomia was performed to remove the 3 by 3 cm cystadhered the left antherolateral wall of the trachea. There was no communication with it. The histopathologic report was positive for a bronchogenic cyst. The patient was discharged on day 6 with no complications.
Conclusions. The prenatal diagnosis and the immediate postnatal confirmation of the bronchogenic cyst allowed for a prompt treatment,preventing further complications.


REFERENCES

  1. Habbins JC. Bronchogenic cyst. En: Romero R. Prenatal diagnosis of congenital anomalies. New York: Appleton and Lange; 1988. p. 205-7.

  2. Bush A. Congenital lung disease. A plea for clear thinking and clear nomenclature. Pediatr Pulmonol. 2001; 32: 328-37.

  3. Blau H, Barak A, Karmazyn B, Mussaffi H, Ari JB, Schoesfeld T, et al. Postnatal management of resolving fetal lung lesions. Pediatrics. 2002; 109: 105-8.

  4. Adzick NS, Harrison MR, Cromblejolme TM, Flake AW, Howell LJ. Fetal lung lesions: management and outcome. Am J Obstet Gynecol. 1998; 179: 884-9.

  5. Salcedo M, Alva LF, Sotelo R, Peña ES, Lule MS, Falcón V. Quiste broncogénico: Reporte de dos casos y revisión de la literatura. Rev Inst Nal Enf Resp Mex. 2004; 17: 35-41.

  6. Ramenofsky ML, Leape LL, McCauley RGK. Broncogenic cyst. J Pediatr Surg. 1979; 14: 219-24.

  7. Kumar A, Aggarwal S, Halder S, Kumar S, Khilnani GC. Thoracoscopic excision of mediastinal bronchogenic cyst: A case report and review of literature. Indian J Chest Dis Allied Sci. 2003; 45: 199-201.




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Bol Med Hosp Infant Mex. 2005;62