Neonatal airway obstruction due to a massive lingual foregut duplication cyst

Shabani, Sepehr; Cheek, Bradley; Post-Martens, Katrin; Andreoli, Steven

doi:10.1136/bcr-2019-233907

Cited by 4 publications

(1 citation statement)

References 9 publications

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“…The evolution of these cystic masses can be spontaneous prenatal resorption [48] or a rapid increase in size that requires intrauterine intervention to prevent the obstruction of the upper airways, with a real fetal benefit. A series of studies evaluated the feasibility of cyst aspiration under ultrasound guidance either prenatally [49,50] or immediately after birth [21,51]. This procedure is debatable, the benefit being the case of large cysts that facilitate upper airway patency at birth.…”

Section: Discussionmentioning

confidence: 99%

Mixed Heterotopic Gastrointestinal/Respiratory Oral Cysts in Newborns: From Prenatal Diagnosis to Histopathological and Therapeutic Management: A Case Report and Literature Review

Varlas,

Parlatescu,

Epistatu

et al. 2024

Diagnostics

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Fetal lingual tumors are very rare, and their early prenatal diagnosis is important for defining the subsequent therapeutic strategy. In this study, we aimed to describe a case of a congenital septate lingual cyst and perform an extensive literature review on two main databases (PubMed, Web of Science), analyzing the clinical manifestations, the imaging appearance, the differential diagnosis, and particularities regarding the treatment of these tumors. The electronic search revealed 17 articles with 18 cases of mixed heterotopic gastrointestinal/respiratory oral epithelial cysts that met the eligibility criteria and were included in this review. The clinical case was diagnosed prenatally during second-trimester screening. On the eighth day of life, the fetus underwent an MRI of the head, which revealed an expansive cystic process on the ventral side of the tongue with the greatest diameter of 21.7 mm, containing a septum of 1 mm inside. On the 13th day of life, surgery was performed under general anesthesia, and the lingual cystic formation was completely excised. The postoperative evolution was favorable. The histopathological examination revealed a heterotopic gastric/respiratory-mixed epithelial cyst with non-keratinized respiratory, gastric squamous, and foveolar epithelium. The lingual cyst diagnosed prenatally is an accidental discovery, the differential diagnosis of which can include several pathologies with different degrees of severity but with a generally good prognosis.

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Section: Discussionmentioning

confidence: 99%

Mixed Heterotopic Gastrointestinal/Respiratory Oral Cysts in Newborns: From Prenatal Diagnosis to Histopathological and Therapeutic Management: A Case Report and Literature Review

Varlas,

Parlatescu,

Epistatu

et al. 2024

Diagnostics

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Successful management of a large lingual foregut duplication cyst with an ex-utero intrapartum treatment procedure

Sakai¹,

Kubota²,

Tani³

2023

Journal of Pediatric Surgery Case Reports

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A rare cause of dysphagia due to retropharyngeal foregut duplication cyst: case report and review of the literature

Confuorto

Alessio

Antonini

et al. 2023

Egypt J Otolaryngol

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Background The retropharyngeal space is a deep compartment of the head and neck region which extends from the base of the skull to the mediastinum, between the posterior pharyngeal wall and vertebral muscles, delimited laterally by carotid sheaths. Pathological processes of the retropharyngeal space are rarely encountered, generally are isolated and painless masses often cystic, and they usually originate from branchial arch anomalies, but only in rare cases, they turn out to be foregut duplication cysts. Foregut duplication cyst is rare congenital malformations arising along primitively derived alimentary tract during the first trimester in the developing embryo, mostly seen in the thorax and abdomen, with just few cases reported in the head and neck region. We report an extremely rare case of a foregut duplication cyst lined with respiratory epithelium located in the retropharyngeal space, at the level of the oropharynx, of an adult patient with dysphagia surgically treated, and we also made an analysis of the published literature about this very uncommon condition. Case presentation A 63-year-old male patient with chronic dysphagia was diagnosed with a retropharyngeal cystic lesion, which was surgically treated. Final pathologic evaluation confirmed the diagnosis of a rare foregut duplication cyst lined with respiratory epithelium. A review of the pertaining published literature about the head and neck foregut duplication cysts was made, with a particular emphasis on retropharyngeal ones. Conclusions Retropharyngeal foregut duplication cysts are a very rare congenital cyst of the head and neck. Clinical symptoms such as dysphagia and dyspnea should be evaluated with fibrolaryngoscopy, and CT and MRI scans are of great significance for definitive diagnosis, which should include the possibility of a foregut duplication cyst in the differential diagnosis. Surgical excision is the elective treatment for this lesion, in order to prevent complications including infection and compression symptoms or eventually malignant transformation.

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Neonatal airway obstruction due to a massive lingual foregut duplication cyst

Cited by 4 publications

References 9 publications

Mixed Heterotopic Gastrointestinal/Respiratory Oral Cysts in Newborns: From Prenatal Diagnosis to Histopathological and Therapeutic Management: A Case Report and Literature Review

Mixed Heterotopic Gastrointestinal/Respiratory Oral Cysts in Newborns: From Prenatal Diagnosis to Histopathological and Therapeutic Management: A Case Report and Literature Review

Successful management of a large lingual foregut duplication cyst with an ex-utero intrapartum treatment procedure

A rare cause of dysphagia due to retropharyngeal foregut duplication cyst: case report and review of the literature

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