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伴有对侧膈疝的颈胸神经肠囊肿:一种罕见的组合。

Cervicothoracic Neurenteric Cyst With Contralateral Diaphragmatic Hernia: An Unusual Combination.

作者信息

Worrell Stephanie, Randall Alice, O'Donnell Brighid

机构信息

Department of Surgical Pathology, UPMC Magee-Womens Hospital, Pittsburgh, Pennsylvania.

Division of Newborn Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, UPMC Magee-Womens Hospital, Pittsburgh, Pennsylvania.

出版信息

Pediatr Dev Pathol. 2021 Sep-Oct;24(5):467-470. doi: 10.1177/10935266211004253. Epub 2021 Mar 24.

DOI:10.1177/10935266211004253
PMID:33760645
Abstract

We describe a premature male infant who died from complications resulting from two malformations: a large left-sided diaphragmatic hernia and a right-sided cervicothoracic neurenteric cyst. The findings of the first limited prenatal ultrasound led to the incorrect diagnosis of right-sided diaphragmatic hernia. Vertebral anomalies, commonly associated with neurenteric cysts, and an intrathoracic stomach, were not identified until autopsy examination. A literature review describes only one partly similar case relating a neurenteric cyst to the jejunum associated with an ipsilateral diaphragmatic defect identified on prenatal ultrasound. The second report of this combination raises the question of a developmental relationship.

摘要

我们描述了一名早产男婴,其死于两种畸形引发的并发症:左侧巨大膈疝和右侧颈胸段神经肠囊肿。首次有限的产前超声检查结果导致对右侧膈疝的误诊。直到尸检时才发现通常与神经肠囊肿相关的椎体异常以及胸腔内胃。文献综述仅描述了一个部分相似的病例,该病例将神经肠囊肿与空肠相关联,且产前超声检查发现了同侧膈疝。这种组合的第二次报告引发了发育关系的问题。

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