Mediastinal neurenteric cysts in children: A case series
Iranian Journal of Pediatric Surgery,
Vol. 2 No. 1 (2016),
23 August 2016
Introduction: Foregut duplication cysts along with vertebral anomalies are called neurenteric cyst. About 30 cases have been reported in the literature so far. Posterior mediastinal neurenteric cysts are very rare and few studies could be found in the literature even after extensive search. Due to this rarity we are prompted to present 7 cases of posterior mediastinal neurenteric cysts to further add on to the literature.
Material and Methods: All details regarding patients with neurenteric cysts who underwent surgery, in the department of paediatric surgery from 2010 to 2015 were gathered from patient case files.
Results: There were 7 patients with neurenteric cyst including 3 males and 4 females with an age range of 4 months to 8 years. The most common presentation was recurrent respiratory infection. In two cases, patients also suffered from dysphasia. In 5 cases there were right sided cysts while two had cyst on left side in posterior mediastinum. In 2 cases the cysts extended to the abdomen while one patient had separate ileal duplication cyst. Another case had mediastinal cyst which had a communication with ileum. All the mediastinal cysts were excised through posterior thoracotomy and subsequently confirmed on histopathology.
Conclusion: When considering the differential diagnosis of mediastinal cysts in children, neurenteric cysts should be in mind.
- neurenteric cyst
How to Cite
Fernandes ET, Custer MD, Burton EM, et al: Neurenteric cyst: surgery and diagnostic imaging. J Pediatr
Surg 1991; 26(1):108-10.
Strollo DC, Rosado-de-Christenson ML, Jett JR: Primary mediastinal tumors: part II. Tumors of the middle and posterior mediastina. Chest 1997; 112: 1344–2.
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.
Sreedhar M, Menon S, Varma G et al: Cervico-thoracic neurenteric cyst – a case report. Indian Journal of
Radiology and Imaging 2006; 16(1):99-102.
Agarwal N, Kaur N, Miglani R et al: Thoraco-abdominal neuroenteric cyst: a case report and review of the literature. SAJCH 2011; 5:55-7.
Bourne A: Congenital and developmental abnormalities. In: Whitehead R (ed): Gastrointestinal and Esophageal Pathology. New York: Churchill Livingstone, 1995:275-301.
Kumar R, Jain R, Rao KM, et al: intra spinal neurenteric cysts:report of three paediatric cases. Childs Nerv Syst 2001;17(10):584-8.
Rauzzino MJ, Tubbs RS, Alexander E 3rd,et al: Spinal neurenteric cysts and their relation to more common aspects of occult spinal dysraphism. Neurosurg Focus 2001;10:1.
Adzick NS, Harrison MR, Crombleholme TM et al: Fetal lung lesions: Management and outcome. Am J Obstet Gynecol 1998; 179:884–9.
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