Congenital bronchogenic cyst: From prenatal diagnosis to postnatal management
Objective: Bronchogenic cysts are rare congenital abnormalities, and usually asymptomatic until adulthood. We present a fetus prenatally diagnosed with a bronchogenic cyst, experiencing compression symptoms immediately after birth and underwent thoracoscopic surgery at 14 days old. Case report: A 33...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455924000366 |
| _version_ | 1797262962624299008 |
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| author | Chia-Jung Hsieh Sheng-Yang Huang Chia-Man Chou Jenn-Jhy Tseng |
| author_facet | Chia-Jung Hsieh Sheng-Yang Huang Chia-Man Chou Jenn-Jhy Tseng |
| author_sort | Chia-Jung Hsieh |
| collection | DOAJ |
| description | Objective: Bronchogenic cysts are rare congenital abnormalities, and usually asymptomatic until adulthood. We present a fetus prenatally diagnosed with a bronchogenic cyst, experiencing compression symptoms immediately after birth and underwent thoracoscopic surgery at 14 days old. Case report: A 33-year-old primigravida had a suspicion of fetal tracheal cyst. Prenatal ultrasound scan revealed a cyst near the trachea at 23 weeks’ gestation. Fetal MRI defined a cystic lesion in the upper mediastinum, displacing surrounding vessels. A 3,940 g girl was delivered vaginally at 38 weeks' gestation. Shortly after birth, she developed respiratory distress, and imaging revealed a mediastinal cyst compressing the trachea and esophagus. The cyst was successfully removed through video-assisted thoracoscopic surgery at 14 days old, and pathology confirmed it as a bronchogenic cyst. Follow-up images demonstrated well-aerated lungs. At present, this 1-year-old girl develops normally without respiratory symptoms. Conclusion: Early detection in utero, accurate diagnosis, and timely management are crucial for bronchogenic cysts in neonates. |
| first_indexed | 2024-04-25T00:05:27Z |
| format | Article |
| id | doaj.art-ffd38332ac824166b6871fb6402d80a2 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-04-25T00:05:27Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-ffd38332ac824166b6871fb6402d80a22024-03-14T06:13:59ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592024-03-01632229233Congenital bronchogenic cyst: From prenatal diagnosis to postnatal managementChia-Jung Hsieh0Sheng-Yang Huang1Chia-Man Chou2Jenn-Jhy Tseng3Imaging Center for Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taichung, TaiwanDivision of Pediatric Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan; School of Medicine, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, TaiwanDivision of Pediatric Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan; School of Medicine, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, TaiwanImaging Center for Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan; Corresponding author. Department of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taiwan No. 1650, Sec. 4, Taiwan Blvd., Xitun Dist., Taichung City 40705, Taiwan.Objective: Bronchogenic cysts are rare congenital abnormalities, and usually asymptomatic until adulthood. We present a fetus prenatally diagnosed with a bronchogenic cyst, experiencing compression symptoms immediately after birth and underwent thoracoscopic surgery at 14 days old. Case report: A 33-year-old primigravida had a suspicion of fetal tracheal cyst. Prenatal ultrasound scan revealed a cyst near the trachea at 23 weeks’ gestation. Fetal MRI defined a cystic lesion in the upper mediastinum, displacing surrounding vessels. A 3,940 g girl was delivered vaginally at 38 weeks' gestation. Shortly after birth, she developed respiratory distress, and imaging revealed a mediastinal cyst compressing the trachea and esophagus. The cyst was successfully removed through video-assisted thoracoscopic surgery at 14 days old, and pathology confirmed it as a bronchogenic cyst. Follow-up images demonstrated well-aerated lungs. At present, this 1-year-old girl develops normally without respiratory symptoms. Conclusion: Early detection in utero, accurate diagnosis, and timely management are crucial for bronchogenic cysts in neonates.http://www.sciencedirect.com/science/article/pii/S1028455924000366Bronchogenic cystFetusMagnetic resonance imagingPrenatal diagnosisUltrasound |
| spellingShingle | Chia-Jung Hsieh Sheng-Yang Huang Chia-Man Chou Jenn-Jhy Tseng Congenital bronchogenic cyst: From prenatal diagnosis to postnatal management Taiwanese Journal of Obstetrics & Gynecology Bronchogenic cyst Fetus Magnetic resonance imaging Prenatal diagnosis Ultrasound |
| title | Congenital bronchogenic cyst: From prenatal diagnosis to postnatal management |
| title_full | Congenital bronchogenic cyst: From prenatal diagnosis to postnatal management |
| title_fullStr | Congenital bronchogenic cyst: From prenatal diagnosis to postnatal management |
| title_full_unstemmed | Congenital bronchogenic cyst: From prenatal diagnosis to postnatal management |
| title_short | Congenital bronchogenic cyst: From prenatal diagnosis to postnatal management |
| title_sort | congenital bronchogenic cyst from prenatal diagnosis to postnatal management |
| topic | Bronchogenic cyst Fetus Magnetic resonance imaging Prenatal diagnosis Ultrasound |
| url | http://www.sciencedirect.com/science/article/pii/S1028455924000366 |
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