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Am J Perinatol 1999; Volume 16(Number 10): 0509-0514
DOI: 10.1055/s-1999-7286
Copyright © 1999 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 760-0888 x 132

CONGENITAL INTRAPULMONARY BRONCHOGENIC CYST IN THE NEONATE-PERINATAL MANAGEMENT

J. Dembinski1 , M. Kaminski2 , R. Schild3 , C. Kuhl4 , M. Hansmann3 , P. Bartmann1
  • 1Department of Neonatology, Center of Pediatrics,
  • 2Center of Surgery, and
  • 3Department of Prenatal Diagnosis and Therapy, Center of Gynecology and Obstetrics,
  • 4Center of Radiology, University of Bonn, Bonn, Germany.
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Publikationsdatum:
31. Dezember 1999 (online)

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ABSTRACT

Approximately 50% of all congenital lung malformations are pulmonary and mediastinal bronchogenic cysts (BC). Therefore, their diagnosis and management is of clinical importance. Usually asymptomatic in the first months of life, bronchogenic cysts are frequently clinically inapparent even adulthood. Early diagnosis and elective surgery can prevent late complications such as pneumothorax, pulmonary hypertension, and recurrent infections; prognosis after surgery is excellent. If mediastinal shifting is present, fetal thoracocentesis is indicated to prevent cardiovascular insufficiency. We report a case of a prenatally diagnosed intrapulmonary BC of the right lung. Following in utero thoracocentesis of the cyst and transient spontaneous regression postnatal onset of severe clinical symptoms due to rapidly developing hyperinflation and mediastinal shifting within the first days of life required early surgical intervention.

KEYWORD

Lung malformation - bronchogenic cyst - fetal therapy