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Fetal neurenteric cyst causing hydrops: case report and review of the literature

C C Wilkinson1, C T Albanese, R W Jennings

  • 1Fetal Treatment Center, University of California, San Francisco 94143-0570, USA.

Prenatal Diagnosis
|April 24, 1999
PubMed

Routine prenatal ultrasound revealed a unilocular cystic mass associated with upper thoracic hemivertebrae that grew to 6 cm at 28 weeks and was associated with hydrops. A thoraco-amniotic shunt decompressed the cyst and resolved the hydrops, but the shunt occluded 17 days later. Preterm labour led to vaginal delivery at 31 2/7 weeks. Postnatally, the cyst was decompressed by thoracentesis due to respiratory distress. It was resected on day four of life. Severe tracheobronchomalacia was present post-operatively, presumably due to prenatal mass effect of the cyst. At one year of age, the child has recovered completely without adverse respiratory or neurological sequelae.

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