AI Article Synopsis

  • Neurenteric cysts are extremely rare, with fewer than 30 reported cases, and this article discusses one such case involving a newborn with respiratory distress.
  • The cyst was found via prenatal ultrasound and required surgical removal through a right posterolateral thoracotomy, as it was attached to the spine and connected to the jejunum.
  • Post-surgery imaging revealed further complications, including an anterior meningocele and spinal tethering, highlighting the connection between intrathoracic cysts and spinal abnormalities in these cases.

Article Abstract

Neurenteric cysts are rare, with fewer than 30 cases noted in the literature. We report the case of a newborn infant with respiratory distress caused by a large neurenteric cyst that was identified by prenatal ultrasound. Treatment consisted of excision of the mass through a right posterolateral thoracotomy. The cyst adhered to the spine at the level of the first thoracic vertebra and communicated with the jejunum through a posterior diaphragmatic defect. Postoperative studies with magnetic resonance imaging (MRI) and computed tomography (CT) disclosed an anterior meningocele and tethering of the spinal column. This is the second reported case of a neurenteric cyst demonstrated by prenatal ultrasound. The presence of an intrathoracic cyst associated with spinal abnormalities is characteristic of this anomaly. With imaging techniques such as MRI and CT, we may detect residual intraspinal disease associated with neurenteric cysts.

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http://dx.doi.org/10.1016/0022-3468(91)90444-xDOI Listing

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