Related Experiment Video

Updated: Sep 12, 2025

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
06:15

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

Published on: March 6, 2019

50.4K

Mediastinal foregut duplication cyst presenting as acute respiratory distress in a three-month-old infant: A case

Abdullah Bin Usman1, Arooba Usman2, Usman Javaid3

  • 1Medical University Sofia, Sofia, Bulgaria.

International Journal of Surgery Case Reports
|August 7, 2025
PubMed

Insights

Foregut duplication cysts in neonates can mimic common conditions, leading to diagnostic delays. Early multimodal imaging and complete surgical excision are crucial for successful outcomes in infants with these rare mediastinal malformations.

Area of Science:

  • Pediatric Surgery
  • Diagnostic Imaging
  • Congenital Malformations

Background:

  • Foregut duplication cysts are rare mediastinal malformations.
  • They can cause severe respiratory compromise in infants.
  • Initial imaging may lead to misdiagnosis as other conditions.

Observation:

  • A 3-month-old infant presented with progressive respiratory distress and cyanosis.
  • Chest radiography suggested a hiatal hernia; ultrasound revealed a multiloculated cyst.
  • Contrast-enhanced CT precisely delineated the cyst's extent.

Findings:

  • A large paracardial cyst and a smaller posterior cyst were identified.
  • En-bloc surgical removal was performed via a thoraco-abdominal approach.
  • Histology confirmed a gastric-type foregut duplication cyst.

Implications:

  • This case highlights diagnostic challenges and the importance of multimodal imaging.
  • Complete surgical excision is vital to prevent complications like infection or malignant transformation.
  • Prompt diagnosis and surgical intervention ensure excellent long-term outcomes for neonates.
Abstract

Keywords:
Case reportForegut duplication cystGastric duplicationNeonatal mediastinal massPediatric thoracic surgeryThoracoabdominal approach

More Related Videos

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

6.5K
International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure05:50

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

13.8K

Related Concept Videos

Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.8K
Acute Respiratory Failure-III01:30

Acute Respiratory Failure-III

Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
321
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
364
Respiratory System Abnormal Finding I: Inspection and Percussion01:30

Respiratory System Abnormal Finding I: Inspection and Percussion

Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
434
Acute Respiratory Failure-IV01:23

Acute Respiratory Failure-IV

Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
229
Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
344