Naslov
Very early prenatal diagnosis of large isolated thoracic enteric cysts and review of the literature : case report

Autori
Petrović, Oleg ; Frančišković, Vedran ; Štifter, Sanja ; Brajenović-Milić, Bojana

Izvornik
Journal of obstetrics and gynaecology (0144-3615) 32 (2012), 1; 92-98

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
isolated thoracic enteric cysts; prenatal diagnosis

Sažetak
This is the first case of an early prenatal diagnosis of isolated thoracic enteric cysts, with very clear evidence of a direct connection between the cysts, as well as the pleural and peritoneal cavities, at the early stages of embryological development. Based on the diff erent morphologies and histologies between postnatally and prenatally detected cases, we can only speculate that these cysts would have had great developmental changes during fetal life. A possible clinical solution for the very early prenatal diagnosis of large thoracic enteric cysts, which could result in lung hypoplasia, fetal hydrops and have poor prognosis, is to allow the termination of such a pregnancy. However, evolution of the cystic lesions could also be followed at any time before the abortion time limit, while waiting for a defi nitive decision, because the vital prognosis is different in cases of small isolated cysts that can be managed conservatively. Considering the small number of cases worldwide and the great spectrum of congenital thoracic abnormalities, qualitative antenatal and postnatal counselling of the family should be on a case-by-case basis. All the reported cases of this very rare abnormality are helpful in clarifying the aetiology, incidence and relationship between the initial phases of embryological development and the developed tumour-like cystic masses.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA