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Hsieh CJ, Huang SY, Chou CM, Tseng JJ. Congenital bronchogenic cyst: From prenatal diagnosis to postnatal management. Taiwan J Obstet Gynecol 2024; 63:229-233. [PMID: 38485320 DOI: 10.1016/j.tjog.2024.01.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/13/2023] [Indexed: 03/19/2024] Open
Abstract
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.
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Affiliation(s)
- Chia-Jung Hsieh
- Imaging Center for Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taichung, Taiwan
| | - Sheng-Yang Huang
- Division 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, Taiwan
| | - Chia-Man Chou
- Division 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, Taiwan
| | - Jenn-Jhy Tseng
- Imaging 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.
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Singh A, Mandelia A, Kawdiya A, Naranje K, Nigam N. Evolution of Antenatally Diagnosed Bronchogenic Cyst in an Infant. J Indian Assoc Pediatr Surg 2023; 28:66-68. [PMID: 36910298 PMCID: PMC9997589 DOI: 10.4103/jiaps.jiaps_87_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 07/01/2022] [Accepted: 07/30/2022] [Indexed: 03/14/2023] Open
Abstract
Bronchogenic cyst is one of the rare developmental lung conditions. Depending on the location, it can cause significant compression of the mediastinal structures, especially airways leading to atelectasis, emphysema, wheezing, and stridor. Computerized tomography helps in the confirmation of diagnosis. Surgery is definitive management. We present a case of bronchogenic cyst which presented as emphysema leading to respiratory emergency in an infant.
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Affiliation(s)
- Anita Singh
- Department of Neonatology, Pediatric Surgery and Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Ankur Mandelia
- Department of Neonatology, Pediatric Surgery and Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Apurva Kawdiya
- Department of Pediatrics, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India
| | - Kirti Naranje
- Department of Neonatology, Pediatric Surgery and Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Neha Nigam
- Department of Neonatology, Pediatric Surgery and Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
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Formiga CKMR, Veloso AHN, Fernandes KTMS, Guimarães LA, Avelar MM, Medeiros M. High-Risk Preterm Infant Born to a Mother With COVID-19: A Case Report. FRONTIERS IN REHABILITATION SCIENCES 2022; 3:862403. [PMID: 36188897 PMCID: PMC9397962 DOI: 10.3389/fresc.2022.862403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Accepted: 04/11/2022] [Indexed: 06/16/2023]
Abstract
The COVID-19 pandemic raises concerns about risks for pregnant women and fetuses, considering factors such as vertical transmission and neonatal alterations caused by maternal infection. Despite this, neuropsychomotor and functional complications in infants delivered by mothers with COVID-19 are still little studied. Thus, we aimed to describe the health history and development based on ICF (International Classification of Functioning, Disability and Health) components of a high-risk preterm infant born to a mother hospitalized due to COVID-19 complications. This case report was based on medical records, developmental assessments, and maternal reports. The infant was born at 30 weeks and 3 days, weighing 1,300 g, measuring 40 cm, and with Apgar scores of 2, 5, 6, and 7. COVID-19 test was negative 1 and 72 h after birth. Moreover, the infant had cardiorespiratory complications and hyperechogenicity of the periventricular white matter. The infant presented speech and language delays during follow-up, but neuromotor development occurred according to age. The health care and follow-up provided helped the development of resilience mechanisms by the infant and family to overcome adversities in the prenatal, perinatal, and neonatal periods. The assessments based on ICF components can contribute to future studies on this topic.
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Affiliation(s)
| | | | | | | | - Marla Moreira Avelar
- Department of Medicine, Hospital das Clínicas, Federal University of Goiás-UFG, Goiânia, Brazil
| | - Maja Medeiros
- Department of Medicine, Hospital das Clínicas, Federal University of Goiás-UFG, Goiânia, Brazil
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Arnaoutoglou C, Spyrakos S, Kapetanaki A, Keivanidou A, Machairiotis N, Zarogoulidis P, Tsakiridis K, Ioannidis A, Saroglou M, Tryfon S, Tsigaras G, Papaioannou GK. Perinatal management of enlarged bronchogenic cyst causing hydrops fetalis. Respir Med Case Rep 2021; 34:101540. [PMID: 34765435 PMCID: PMC8569724 DOI: 10.1016/j.rmcr.2021.101540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Revised: 10/05/2021] [Accepted: 10/19/2021] [Indexed: 11/25/2022] Open
Abstract
Bronchogenic cysts are rare congenital anomalies that they are usually diagnosed prenatally during the routine second trimester scan. We present such a rare case of bronchogenic cyst in a fetus. Our initial scan demonstrated a big cystic mass, which enlarged progressively causing shifting of the mediastinum and compression of the fetal heart. Consequent hydrops fetalis was treated with thoracoamniotic shunt and the pregnancy continued with no further complications. Pontnatal period, surgery and long term follow-up was uneventful.
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Affiliation(s)
- Christos Arnaoutoglou
- 1th Department of Obstetrics & Gynecology, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Spyros Spyrakos
- Department of Pediatric Surgery, General Maternal Hospital of Athens "Elena Venizelou", Athens, Greece
| | | | - Anastasia Keivanidou
- 2nd Pediatric Department, Aristotle University of Thessaloniki, AHEPA General Hospital, Thessaloniki, Greece
| | - Nikolaos Machairiotis
- Northwick Park, Central Middlesex and Ealing Hospitals, London North West University Healthcare NHS Trust, London, UK
| | - Paul Zarogoulidis
- Pulmonary Department, "General Clinic Euromedica", Thessaloniki, Greece
| | - Kosmas Tsakiridis
- Thoracic Surgery Department, "Interbalkan" European Medical Center, Thessaloniki, Greece
| | - Aris Ioannidis
- Surgery Department, "Genesis" Private Hospital, Thessaloniki, Greece
| | - Maria Saroglou
- Pulmonary Department (NHS), "G. Papanikolaou" General Hospital, Thessaloniki, Greece
| | - Stavros Tryfon
- Pulmonary Department (NHS), "G. Papanikolaou" General Hospital, Thessaloniki, Greece
| | - Georgios Tsigaras
- 1st Department of Pediatrics, Aristotle University of Thessaloniki, Hippocratio General Hospital, Greece
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