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Case Reports
. 2021 Oct 21:34:101540.
doi: 10.1016/j.rmcr.2021.101540. eCollection 2021.

Perinatal management of enlarged bronchogenic cyst causing hydrops fetalis

Christos Arnaoutoglou  1 , Spyros Spyrakos  2 , Anastasia Kapetanaki  3 , Anastasia Keivanidou  4 , Nikolaos Machairiotis  5 , Paul Zarogoulidis  6 , Kosmas Tsakiridis  7 , Aris Ioannidis  8 , Maria Saroglou  9 , Stavros Tryfon  9 , Georgios Tsigaras  10 , Georgios Konstantinos Papaioannou  11
Affiliations
Case Reports

Perinatal management of enlarged bronchogenic cyst causing hydrops fetalis

Christos Arnaoutoglou et al. Respir Med Case Rep. .

Abstract

Bronchogenic cysts are rare congenital anomalies that they are usually diagnosed prenatally during the routine second trimester scan. We present such a rare case of bronchogenic cyst in a fetus. Our initial scan demonstrated a big cystic mass, which enlarged progressively causing shifting of the mediastinum and compression of the fetal heart. Consequent hydrops fetalis was treated with thoracoamniotic shunt and the pregnancy continued with no further complications. Pontnatal period, surgery and long term follow-up was uneventful.

Keywords: Bronchogenic cysts; Prenatal ultrasound; Thoracic surgery; Thoracoamniotc shunt; Thoracocentisis; Video assisted thoracic surgery.

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Conflict of interest statement

All authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
Ultrasound examination at 27w+1D, demonstrating enlargement of bronchogenic cyst (45 × 40 × 47mm), shift of the mediastinum and simultaneous compression of the heart.
Fig. 2
Fig. 2
Ultrasound examination at 28w+5D, demonstrating shrink of the bronchogenic cyst (10 × 8 × 8mm) after shunt placement (yellow arrow). Cardiac function and position has been restored. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
Fig. 3
Fig. 3
Chest x-ray before surgery.
Fig. 4
Fig. 4
Postoperative chest x-ray.
Fig. 5
Fig. 5
Instruments during surgery.
See this image and copyright information in PMC

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