Subscribe to RSS

DOI: 10.1055/s-0044-1791555
Spontaneous Rupture of Prenatally Detected Thoracic Neurenteric Cyst: Case Report and Review of Literature

Abstract
Neurenteric cysts are usually associated with vertebral anomalies of the same segments of vertebrae. Rarely, they can be detected antenatally. The prognosis depends upon the size and site of the lesion. In cases of small cysts with minimal mass effect, the prognosis is good. Larger cysts, however, can cause hydrops fetalis and, if untreated, can lead to intrauterine fetal demise. The present case report describes the successful conservative management of the neurenteric cyst detected prenatally and is accompanied by a summary from literature.
Keywords
neurenteric cyst - prenatal diagnosis - spontaneous rupture - vertebral defect - conservative managementPublication History
Article published online:
03 October 2024
© 2024. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Scheuer LBS. The Juvenile Skeleton. Amsterdam, The Netherlands: Elsevier Ltd; 2004
- 2 Goldstein I, Makhoul IR, Weissman A, Drugan A. Hemivertebra: prenatal diagnosis, incidence and characteristics. Fetal Diagn Ther 2005; 20 (02) 121-126
- 3 Wax JR, Watson WJ, Miller RC. et al. Prenatal sonographic diagnosis of hemivertebrae: associations and outcomes. J Ultrasound Med 2008; 27 (07) 1023-1027
- 4 Stevenson RE, Kelly JC, Aylsworth AS, Phelan MC. Vascular basis for neural tube defects: a hypothesis. Pediatrics 1987; 80 (01) 102-106
- 5 Tanaka T, Uhthoff HK. The pathogenesis of congenital vertebral malformations. A study based on observations made in 11 human embryos and fetuses. Acta Orthop Scand 1981; 52 (04) 413-425
- 6 Lcdr James Reed BC, Richard Sobonya ME, Washington U. Morphologic analysis of foregut cysts in the thorax*. Accessed September 18, 2024 at: www.ajronline.org
- 7 Wilkinson CC, Albanese CT, Jennings RW. et al. Fetal neurenteric cyst causing hydrops: case report and review of the literature. Prenat Diagn 1999; 19 (02) 118-121
- 8 Gadodia A, Sharma R, Jeyaseelan N, Aggarwala S, Gupta P. Prenatal diagnosis of mediastinal neurentric cyst with an intraspinal component. J Pediatr Surg 2010; 45 (06) 1377-1379
- 9 Çay A, Aydoğdu İ, Mirapoglu SL, Toprak H. Prenatal diagnosis of mediastinal neurenteric cyst: a case report and review of the literature. J Med Ultrason 2018; 45 (04) 633-639
- 10 Gulrajani M, David K, Sy W, Braithwaite A. Prenatal diagnosis of a neurenteric cyst by magnetic resonance imaging. Am J Perinatol 1993; 10 (04) 304-306
- 11 Bejjani N, Andraos R, Alok K, Akel S, Najjar M. Antenatally diagnosed intraspinal-posterior mediastinal neurenteric cyst - what is the optimal management?. Clin Neurol Neurosurg 2022; 212: 107040
- 12 Bernasconi A, Yoo SJ, Golding F, Langer JC, Jaeggi ET. Etiology and outcome of prenatally detected paracardial cystic lesions: a case series and review of the literature. Ultrasound Obstet Gynecol 2007; 29 (04) 388-394
- 13 Kimya Y, Ozyurek E, Yalcinkaya U, Cengiz C, Alyamac Akpýnar F. Prenatal diagnosis of the rarely observed split notochord syndrome. Ultrasound Obstet Gynecol 2007; 29 (06) 712-713
- 14 Worrell S, Randall A, O'Donnell B. Cervicothoracic neurenteric cyst with contralateral diaphragmatic hernia: an unusual combination. Pediatr Dev Pathol 2021; 24 (05) 467-470
- 15 Saunders RL. de Ch. Combined anterior and posterior spina bifida in a living neonatal human female. Anat Rec 1943; 87: 255-278
- 16 Daher P, Melki I, Diab N, Haddad S, Hakme C, Akatcherian C. Neurenteric cyst: antenatal diagnosis and therapeutic approach. Eur J Pediatr Surg 1996; 6 (05) 306-309
- 17 Hoffman CH, Dietrich RB, Pais MJ, Demos DS, Pribram HF. The split notochord syndrome with dorsal enteric fistula. AJNR Am J Neuroradiol 1993; 14 (03) 622-627
- 18 Johal J, Loukas M, Fisahn C, Chapman JR, Oskouian RJ, Tubbs RS. Hemivertebrae: a comprehensive review of embryology, imaging, classification, and management. Childs Nerv Syst 2016; 32 (11) 2105-2109
- 19 Weinstein SL. The Pediatric Spine: Principles and Practice. 2nd ed. Philadelphia, Pennsylvania: Lippincott Williams & Wilkins; 2001
- 20 Ozonoff MB. Spinal anomalies and curvatures. In: Resnick D. ed. Diagnosis of Bone and Joint Disorders. 4th ed. Philadelphia, Pennsylvania: WB Saunders Co; 2002
- 21 Weisz B, Achiron R, Schindler A, Eisenberg VH, Lipitz S, Zalel Y. Prenatal sonographic diagnosis of hemivertebra. J Ultrasound Med 2004; 23 (06) 853-857
- 22 Uludağ S, Madazli R, Erdoğan E, Dervişoğlu S, Celik E, Ocak V. A case of prenatally diagnosed fetal neurenteric cyst. Ultrasound Obstet Gynecol 2001; 18 (03) 277-279
- 23 Macaulay KE, Winter III TC, Shields LE. Neurenteric cyst shown by prenatal sonography. AJR Am J Roentgenol 1997; 169 (02) 563-565
- 24 Perera GB, Milne M. Neurenteric cyst: antenatal diagnosis by ultrasound. Australas Radiol 1997; 41 (03) 300-302
- 25 Rizalar R, Demirbilek S, Bernay F, Gürses N. A case of a mediastinal neurenteric cyst demonstrated by prenatal ultrasound. Eur J Pediatr Surg 1995; 5 (03) 177-179
- 26 Fernandes ET, Custer MD, Burton EM. et al. Neurenteric cyst: surgery and diagnostic imaging. J Pediatr Surg 1991; 26 (01) 108-110
- 27 Setty H, Hegde KKS, Narvekar VN. Neurenteric cyst of the posterior mediastinum. Australas Radiol 2005; 49 (02) 151-153
- 28 Orstavik KH, Steen-Johnsen J, Foerster A, Fjeld T, Skullerud K, Lie SO. VACTERL or MURCS association in a girl with neurenteric cyst and identical thoracic malformations in the father: a case of gonosomal mosaicism?. Am J Med Genet 1992; 43 (06) 1035-1038
- 29 Pavone V, Praticò AD, Caltabiano R. et al. Cervical neurenteric cyst and Klippel-Feil syndrome: an abrupt onset of myelopathic signs in a young patient. J Pediatr Surg Case Rep 2017; 24: 12-16
- 30 Navarro-Olvera JL, Armas-Salazar A, Vintimilla-Sarmiento JD. et al. A rare association between intracranial neuroenteric cyst and Klippel-Feil syndrome: a case report. Rev Med Hosp Gen (Mex) 2023; 86 (02) 79-84
- 31 Saito S, Natsumeda M, Sainouchi M. et al. Elucidating the multiple genetic alterations involved in the malignant transformation of a KRAS mutant neurenteric cyst. A case report. Neuropathology 2022; 42 (06) 519-525
- 32 Adzick NS, Harrison MR, Crombleholme TM, Flake AW, Howell LJ. Fetal lung lesions: management and outcome. Am J Obstet Gynecol 1998; 179 (04) 884-889