Prenatal detection of isolated gastric duplication cyst

Nakazawa, Nana; Okazaki, Tadaharu; Miyano, Takeshi

doi:10.1007/s00383-005-1517-3

Cited by 34 publications

(31 citation statements)

References 12 publications

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“…The term alimentary tract duplication is used for congenital lesions having three characteristics: [1] the presence of a well-developed coat of smooth muscle; [2] an epithelial lining representing some portion of the intestinal tract mucosa; and [3] intimate anatomic association with some portion of the gastrointestinal tract [1]. Recently, as we reported in the present case, congenital cystic lesions having gastrointestinal epithelial and wall characteristics without an anatomic association with the alimentary tract have been reported and described as ''isolated duplication'' or ''completely isolated duplication'' of the alimentary tract; eight such cases have been previously reported in the literature [2][3][4][5][6][7]. All but one case was detected and treated during the neonatal period.…”

Section: Discussionmentioning

confidence: 58%

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Completely isolated alimentary tract duplication in a neonate

et al. 2008

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A rare case of a completely isolated, alimentary tract duplication cyst in a 27-day-old neonate is reported. The duplication cyst was detected on antenatal fetal ultrasound and magnetic resonance (MR) imaging at 27 weeks' gestational age. At surgery, the duplication cyst was in a retroperitoneal site with no apparent communication between the cyst and any portion of the alimentary tract. On histopathological examination, the diagnosis was a gastric duplication cyst. The patient's postoperative course was uneventful. There have been eight cases of completely isolated duplication reported in the literature, of which seven were detected during the prenatal or neonatal period. No previous report in the English literature has described the fetal MR imaging findings of this type of duplication cyst.

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Section: Discussionmentioning

confidence: 58%

“…Four previously reported cases [2,3,7], as well as the present case, were found to have an intraabdominal cystic lesion on prenatal ultrasound examination. The differential diagnosis of prenatal abdominal cystic lesions includes adrenal, renal, gastrointestinal, and lymphatic masses.…”

Section: Discussionmentioning

confidence: 66%

Completely isolated alimentary tract duplication in a neonate

et al. 2008

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“…The presence of an ectopic gastric tissue in the lining of the cyst may result in lifethreatening hematemesis or hemoptysis if the cyst fistulates into the bronchus. The risk of bleeding was confirmed in the series of Foley et al [16] and Nakazawa et al [6]-the histopathologic examination of the cyst revealed gastric tissue with mucosal erosions. In our case, the surgical approach was advocated because of the space occupying effect of the cyst.…”

Section: Discussionmentioning

confidence: 80%

“…Prenatal detection of gastric duplication allows appropriate management and approach at birth. As far as we know, all previously detected gastric duplications were located in the abdomen [6][7][8][9]. We report what we believe is the first case of an isolated intrathoracic gastric duplication detected on a routine prenatal ultrasound examination.…”

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confidence: 72%

Prenatal diagnosis of an intrathoracic gastric duplication: a case report

Daher

Karam

Riachy

2008

Journal of Pediatric Surgery

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“…Imaging findings for malrotation and volvulus included midline stomach, small bowel on right side of the midline, classic mesenteric whirlpool sign (twisted mesentery around the mesenteric vascular stalk), coffee-bean sign, and three parallel fixed bowel loops on transverse scan (4,(6)(7)(8). Reported imaging findings for intestinal duplication cyst included thin-or thick-walled cystic structure, double wall appearance/sign, pseudo-double bubble appearance, abdominal cyst with peristalsis, echogenic mesenteric tissue consisting of fat close to the cyst, and intra-cystic echogenic contents (9)(10)(11)(12). Reported characteristics of meconium pseudocyst included thick membrane containing multiple calcium deposits and plaques (13).…”

Section: Answermentioning

confidence: 99%

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Başaran¹,

Başaran²

2016

J Turkish German Gynecol Assoc

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A 20-year-old primigravida was referred due to increased risk of trisomy 21 in the triple test result at 21 weeks of gestation, which was 1/59. Sonographic examination revealed hypoplastic nasal bone (NB=4.3 mm) and hyperechogenic bowel with mildly dilated segments (bowel diameter=4.5 mm) (Figure 1). Past medical histories of both parents were insignificant. There was no consanguineous marriage. Amniocentesis was performed. Quantitative fluorescence polymerase chain reaction (PCR), karyotype, and cystic fibrosis panel were normal. Due to hyperechogenic bowel and mildly dilated segments of the bowel, close surveillance was planned. At 24 weeks and 25 weeks, these segments of the bowel continued to dilate and increased to 9.8 mm and 11.2 mm, respectively. At 25 weeks of gestation, anorectal complex was observed intact. Dilatation of the bowel progressed and reached to 23.8 mm at 29 weeks of gestation, which was also coincided with an increase in the amount of amniotic fluid (Figure 2). Besides dilated bowel segments, a cystic structure with hyperechogenic inner fluid than the other dilated bowel segments had become noticeable during the examination at 29 weeks. Due to the risk of volvulus, weekly follow-up visits were scheduled. From 29 to 37 weeks, the size of the cyst and amount of amniotic fluid continued to increase, although the diameter of the dilated bowel remained relatively stable (Figure 3). Within last 4 weeks before delivery, in addition to the cyst and bowel dilatation, ascites began to accumulate in the fetal abdomen. In this period, Doppler of the middle cerebral artery and umbilical artery remained normal, however a-waves in the ductus venosus started to deepen and fetal ascites progressively increased. We, therefore, decided to perform paracentesis via ex utero intrapartum treatment (EXIT) procedure in the intrapartum period. At 37 weeks, planned cesarean under deep general anesthesia was performed. Male infant weighing 2910 g was delivered. Umbilical cord was not clamped, and oxytocin administration was withheld. Newborn was laid between the mothers legs. Under the ultrasound guidance, paracentesis was performed and 240 mL of green fluid was aspirated, which effectively ruled out hemorrhagic ascites. The newborn was neither intubated nor required mechanical ventilation, and after a brief stay in the neonatal intensive care unit, he was operated. After an uneventful postoperative course, he was discharged. At 2 years of age, he was faring well.

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Prenatal detection of isolated gastric duplication cyst

Cited by 34 publications

References 12 publications

Completely isolated alimentary tract duplication in a neonate

Completely isolated alimentary tract duplication in a neonate

Prenatal diagnosis of an intrathoracic gastric duplication: a case report

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