Yenidoğan Bir Bebekte Mediyastinal Gastroenterik Kist

Yıl 2016, Cilt: 14 Sayı: 1, 46 - 49, 01.06.2016

Mehmet Şah İpek Sabahattin Ertuğrul Refik Ülkü

https://doi.org/10.4274/jcp.03521

Öz

Yenidoğan bebeklerde mediyastinal kist nadiren bildirilmiştir. Posterior mediyastendeki enterik kistler çoğunlukla asemptomatiktir. Vertebral malformasyonlar eşlik edebilir. Solunum sıkıntısı şeklinde klinik bulgu verebilir. Burada doğumdan itibaren solunum sıkıntısı bulguları gösteren bir mediyastinal gastoenterik kist ve meningomiyelosel olgusu sunuldu. Mediyastinal kistin çıkarılması ve meningomiyelosel duramaterinin kapatılması ile hasta tedavi edildi. Detaylı antenatal taramanın yapılması, erken tanı ve daha iyi bir sonuç alımında faydalı olabilir. Ayrıca, solunum sıkıntısı olan bebeklerin akciğer grafisindeki vertebral anomali, olası bir mediyastinal enterik kist varlığını akla getirmelidir

Anahtar Kelimeler

Yenidoğan, mediyastinal kist, solunum sıkıntısı, spina bifida

Mediastinal Gastroenteric Cyst in a Neonate

Öz

Mediastinal cysts in neonates are infrequently reported. Enteric cysts in the posterior mediastinum are mostly asymptomatic. Vertebral malformations may contribute. Clinical presentation may include respiratory distress. Herein, we report a case of mediastinal gastroenteric cyst and meningomyelocele in a neonate presented respiratory distress signs after delivery. The patient was well managed by excision of mediastinal cyst and closure of dura mater of meningomyelocele. A detailed antenatal scan may help in early diagnosis and better outcome. Moreover, vertebral anomaly in chest radiograph of infants with respiratory distress should suggest the possible presence of a mediastinal enteric cyst

Anahtar Kelimeler

Newborn, mediastinal cyst, respiratory distress, spina bifida

Kaynakça

• 1. Takeda S, Mioyshi S, Minami M, Masaoka A, Matsuda H. Clinical spectrum of mediastinal cysts. Chest 2003;124:125-32.
• 2. Ildstad ST, Tollerud DJ, Weiss RG, Ryan DP, McGowan MA, Martin LW. Duplications of the alimentary tract clinical characteristics, preferred treatment, and associated malformations. Ann Surg 1988;208:184-9.
• 3. Birmole BJ, Kulkarni BK, Vaidya AS, Borwankar SS. Intrathoracic enteric foregut duplication cyst. J Postgrad Med 1994;40:228-30.
• 4. Kumar R, Jain R, Rao KM, Hussain N. Intraspinal neurenteric cysts--report of three paediatric cases. Childs Nerv Syst 2001;7:584-8.
• 5. Khan MU, Saidy KM, Ousulimane DM, Khan MD. Posterior mediastinal gastoenteric cyst in neonate. Saudi Med J 2004;25:955-7.
• 6. Esme H, Eren S, Sezer M, Solak O. Primary mediastinal cysts: clinical evaluation and surgical results of 32 cases. Tex Heart Inst J 2011;38:371-4.
• 7. Singhal V, Shenoy RD, Kamath N, Rao S. Mediastinal enteric cyst in a neonate. J Clin Neonatol 2012;1:149-51.
• 8. Ahmed S, Jolleys A, Park JF. Thoracic enteric cysts and diverticulae. Br J Surg 1972;59:963-8.
• 9. Bentley JF, Smith JR. Developmental posterior enteric remnants and spinal malformations: the split notocord syndrome. Arch Dis Child 1960;35:76-86.
• 10. Nawaz A, Matta H, Jacobsz A, Ansari F, Al-Khouder G, Al￾Salem A. Intrathoracic foregut duplication cysts in neonates. Ann Saudi Med 2001;21:206-9.
• 11. Srivastava P, Gangopadhyay AN, Gupta DK, Sharma SP. Split notochord syndrome associated with dorsal neuroenteric fistula: A rare entity. J Pediatr Neurosci 2010;5:135-7.
• 12. Aygün C, Kurucu S, Çakmak-Çelik F, Dağçınar A, Tanyeri B, Küçüködük Ş. Experience of a tertiary care center on 100 newborns with neural tube defects. Turk J Pediatr 2013;55:359-64.