Skip to main content
Log in

Prenatal diagnosis of mediastinal neurenteric cyst: a case report and review of the literature

  • Case Report
  • Published:
Journal of Medical Ultrasonics Aims and scope Submit manuscript

Abstract

Neurenteric cyst is a very rare developmental anomaly. Prenatal diagnosis of mediastinal neurenteric cysts has been reported rarely. We present a case of neurenteric cyst associated with vertebral anomalies diagnosed by prenatal ultrasonography at 31 weeks of gestation, which was treated successfully in the early neonatal period. In addition, we searched the English literature for all cases of mediastinal neurenteric cyst diagnosed in the prenatal period reported to date. We found that only 17 cases were reported previously. We reviewed the reports of these 17 patients along with our case, and we investigated the prenatal and postnatal diagnosis and treatment approaches and the factors influencing the prognosis. Fetuses with mediastinal neurenteric cysts should be monitored regularly by ultrasonography. Fetuses with no signs of hydrops are more likely to survive with proper neonatal center transfer, regular follow-up, and appropriate postnatal approach. Fetuses with hydrops findings have a high risk of fetal and neonatal death.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Newnham JP, Crues JV, Vinstein AL, et al. Sonographic diagnosis of gastroenteric cyst in utero. Prenat Diagn. 1984;4:467–71.

    Article  CAS  Google Scholar 

  2. Fernandes ET, Custer MD, Burton EM, et al. Neurenteric cyst: surgery and diagnostic imaging. J Pediatr Surg. 1991;26:108–10.

    Article  CAS  Google Scholar 

  3. Gulrajani M, David K, Sy W, Braithwaite A. Prenatal diagnosis of a neurenteric cyst by magnetic resonance imaging. Am J Perinatol. 1993;10:304–6.

    Article  CAS  Google Scholar 

  4. Rızalar R, Demirbilek S, Bernay F, et al. A case of mediastinal neurenteric cyst demonstrated by prenatal ultrasound. Eur J Pediatr Surg. 1995;5:177–9.

    Article  Google Scholar 

  5. Daher P, Melki I, Diab N, et al. Neurenteric cyst: antenatal diagnosis and therapeutic approach. Eur J Pediatr Surg. 1996;6:306–9.

    Article  CAS  Google Scholar 

  6. Macaulay KE, Winter TC, Shields LE. Neurenteric cyst shown by prenatal sonography. AJR Am J Roentgenol. 1997;169:563–5.

    Article  CAS  Google Scholar 

  7. Perera GB, Milne M. Neurenteric cyst: antenatal diagnosis by ultrasound. Australas Radiol. 1997;41:300–2.

    Article  CAS  Google Scholar 

  8. Wilkinson CC, Albanese CT, Jennings RW, et al. Fetal neurenteric cyst causing hydrops: case report and review of the literature. Prenat Diagn. 1999;19:118–21.

    Article  CAS  Google Scholar 

  9. Olavarria S, Guerrero D, Yanis R: Neurenteric Cyst. https://sonoworld.com/fetus/page.aspx?id=230.

  10. Uludağ S, Madazlı R, Erdoğan E, et al. A case of prenatally diagnosed fetal neurenteric cyst. Ultrasound Obstet Gynecol. 2001;18:277–9.

    Article  Google Scholar 

  11. Reisli I, Aribas OK, Koksal Y, et al. A giant gastroenteric cyst associated with pectus excavatum and compression of the thoracic duct: a case report. J Thorac Cardiovasc Surg. 2003;126:584–5.

    Article  Google Scholar 

  12. Aslan H, Cebeci A, Yıldırım G, et al. Fetal neurenteric csyt. Prenatal ultrasonographic diagnosis. J Turkish German Gynecol Assoc. 2004;5:23–4.

    Google Scholar 

  13. Sahinoglu Z, Peker H, Etker S, et al. Difficulties in perinatal diagnosis of fetal thoracic foregut cysts. J Obstet Gynecol. 2005;25:211–4.

    Article  CAS  Google Scholar 

  14. Bernasconi A, Yoo SJ, Golding F, et al. Etiology and outcome of prenatally detected paracardial cystic lesions: a case series and review of the literature. Ultrasound Obstet Gynecol. 2007;29:388–94.

    Article  CAS  Google Scholar 

  15. Kimya Y, Ozyurek E, Yalcinkaya U, et al. Prenatal diagnosis of the rarely observed split notochord syndrome. Ultrasound Obstet Gynecol. 2007;29:712–3.

    Article  CAS  Google Scholar 

  16. Gadodia A, Sharma R, Jeyaseelan N, et al. Prenatal diagnosis of mediastinal neurentric cyst with an intraspinal component. J Pediatr Surg. 2010;45:1377–9.

    Article  Google Scholar 

  17. Petrović O, Franćišković V, Stifter S, et al. Very early prenatal diagnosis of large isolated thoracic enteric cysts and review of the literature. J Obstet Gynaecol. 2012;32:92–5.

    Article  Google Scholar 

  18. Adzick NS, Flake AW, Crombleholme TM. Management of congenital lung lesions. Semin Pediatr Surg. 2003;12:10–6.

    Article  Google Scholar 

  19. Ladd AP, Touloukian RJ, Rescorla FJ, Grosfeld JL. Gastroenteric cysts and neurenteric cysts in infants and children [serial on the Internet]. http://thoracickey.com/gastroenteric-cysts-and-neurenteric-cysts-in-infants-and-children/. Accessed 25 June 2016

  20. Francis C (2017) Mediastinal cysts and duplications in adults. In: Patterson GA, Cooper JD, Deslauriers J, et al., editors. Pearson’s Thoracic and Esophageal Surgery. Philadelphia PA (USA): Elsevier Inc; 2017. p. 1581–8.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ali Çay.

Ethics declarations

Ethical statements

This article does not contain any studies with human or animal subjects performed by any of the authors. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions. Informed consent was obtained from all patients for being included in the study.

Conflict of interest

Ali Çay, Semih L Mirapoğlu, İbrahim Aydoğdu, and Hüseyin Toprak declare that there are no financial or other relations that could lead to a conflict of interest.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Çay, A., Aydoğdu, İ., Mirapoglu, S.L. et al. Prenatal diagnosis of mediastinal neurenteric cyst: a case report and review of the literature. J Med Ultrasonics 45, 633–639 (2018). https://doi.org/10.1007/s10396-018-0869-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10396-018-0869-y

Keywords

Navigation