A Case of Intrathoracic Gastric Duplication Cyst Detected on Prenatal Ultrasound Examination
A 37-year-old (G4P3) woman was referred to our hospital at 32 weeks of gestation for the evaluation of a fetus with an intrathoracic cystic lesion. Ultrasonography and magnetic resonance imaging revealed that a fetal cystic lesion without a mucosal layer was located in the posterior mediastinum. The...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2018/5346920 |
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| author | Hisako Yagi Yoshino Kinjyo Yukiko Chinen Hayase Nitta Tadatsugu Kinjo Keiko Mekaru Hitoshi Masamoto Hideki Goya Tomohide Yoshida Naoya Sanabe Yoichi Aoki |
| author_facet | Hisako Yagi Yoshino Kinjyo Yukiko Chinen Hayase Nitta Tadatsugu Kinjo Keiko Mekaru Hitoshi Masamoto Hideki Goya Tomohide Yoshida Naoya Sanabe Yoichi Aoki |
| author_sort | Hisako Yagi |
| collection | DOAJ |
| description | A 37-year-old (G4P3) woman was referred to our hospital at 32 weeks of gestation for the evaluation of a fetus with an intrathoracic cystic lesion. Ultrasonography and magnetic resonance imaging revealed that a fetal cystic lesion without a mucosal layer was located in the posterior mediastinum. These findings were consistent with a bronchogenic cyst. At 38 3/7 weeks of gestation, an elective cesarean section was performed because of her previous cesarean section. A female neonate without any external anomalies, weighing 2,442 g, with Apgar scores of 8 and 9, and requiring no resuscitation was born. Four weeks after delivery, the neonate was admitted because of respiratory distress due to mass effect. At right lateral thoracotomy, a 105 × 65 mm of solitary smooth-walled cyst containing serosanguineous fluid was found in the posterior mediastinum, which was excised completely. Histologic examination revealed the diagnosis of the mediastinal gastric duplication cyst. The neonate made an uneventful recovery. Accurate diagnosis is not necessary, but detection and continuous observation are logical. Although gastric duplication, particularly intrathoracic, is a rare pathology, it should be considered in the differential diagnosis of any intrathoracic cyst. |
| format | Article |
| id | doaj-art-f87337c554c24b7aa70bf141640edbc4 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-f87337c554c24b7aa70bf141640edbc42025-02-03T01:11:32ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/53469205346920A Case of Intrathoracic Gastric Duplication Cyst Detected on Prenatal Ultrasound ExaminationHisako Yagi0Yoshino Kinjyo1Yukiko Chinen2Hayase Nitta3Tadatsugu Kinjo4Keiko Mekaru5Hitoshi Masamoto6Hideki Goya7Tomohide Yoshida8Naoya Sanabe9Yoichi Aoki10Department of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Pediatrics, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Pediatrics, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Digestive and General Surgery, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanA 37-year-old (G4P3) woman was referred to our hospital at 32 weeks of gestation for the evaluation of a fetus with an intrathoracic cystic lesion. Ultrasonography and magnetic resonance imaging revealed that a fetal cystic lesion without a mucosal layer was located in the posterior mediastinum. These findings were consistent with a bronchogenic cyst. At 38 3/7 weeks of gestation, an elective cesarean section was performed because of her previous cesarean section. A female neonate without any external anomalies, weighing 2,442 g, with Apgar scores of 8 and 9, and requiring no resuscitation was born. Four weeks after delivery, the neonate was admitted because of respiratory distress due to mass effect. At right lateral thoracotomy, a 105 × 65 mm of solitary smooth-walled cyst containing serosanguineous fluid was found in the posterior mediastinum, which was excised completely. Histologic examination revealed the diagnosis of the mediastinal gastric duplication cyst. The neonate made an uneventful recovery. Accurate diagnosis is not necessary, but detection and continuous observation are logical. Although gastric duplication, particularly intrathoracic, is a rare pathology, it should be considered in the differential diagnosis of any intrathoracic cyst.http://dx.doi.org/10.1155/2018/5346920 |
| spellingShingle | Hisako Yagi Yoshino Kinjyo Yukiko Chinen Hayase Nitta Tadatsugu Kinjo Keiko Mekaru Hitoshi Masamoto Hideki Goya Tomohide Yoshida Naoya Sanabe Yoichi Aoki A Case of Intrathoracic Gastric Duplication Cyst Detected on Prenatal Ultrasound Examination Case Reports in Obstetrics and Gynecology |
| title | A Case of Intrathoracic Gastric Duplication Cyst Detected on Prenatal Ultrasound Examination |
| title_full | A Case of Intrathoracic Gastric Duplication Cyst Detected on Prenatal Ultrasound Examination |
| title_fullStr | A Case of Intrathoracic Gastric Duplication Cyst Detected on Prenatal Ultrasound Examination |
| title_full_unstemmed | A Case of Intrathoracic Gastric Duplication Cyst Detected on Prenatal Ultrasound Examination |
| title_short | A Case of Intrathoracic Gastric Duplication Cyst Detected on Prenatal Ultrasound Examination |
| title_sort | case of intrathoracic gastric duplication cyst detected on prenatal ultrasound examination |
| url | http://dx.doi.org/10.1155/2018/5346920 |
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