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Title :A Case of Intrathoracic Gastric Duplication Cyst Detected on Prenatal Ultrasound Examination
Authors :Yagi, Hisao
Kinjo, Yoshino
Chinen, Yukiko
Nitta, Hayase
Kinjo, Tadatsugu
Mekaru, Keiko
Masamoto, Hitoshi
Goya, Hideki
Yoshida, Tomohide
Sanabe, Naoya
Aoki, Yoichi
Issue Date :13-Sep-2018
Abstract :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.
URL :https://doi.org/10.1155/2018/5346920
Type Local :雑誌掲載論文
ISSN :2090-6684
Publisher :Hindawi
URI :http://hdl.handle.net/20.500.12000/46946
Citation :Case Reports in Obstetrics and Gynecology Vol.2018
Appears in Collections:Peer-reviewed Journal Articles (Faculty of Medicine)

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