Paediatric Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
Paediatric Surgery, Cairo University Kasr Alainy Faculty of Medicine, Cairo, Egypt.
BMJ Case Rep. 2023 Sep 6;16(9):e253729. doi: 10.1136/bcr-2022-253729.
The authors describe a case of a male neonate with split notochord syndrome presenting with cervico-thoracic deformity, thoracic neuroenteric cyst, separate abdominal duodenal duplication cyst and concurrent intestinal malrotation. This combination of abnormalities is very rare. When these lesions are suspected, patients must be investigated carefully.This case is presented not only to recount an infrequent combination of structural abnormalities but also to raise awareness of the signs that should point to clinical suspicion and prompt diagnosis.Following surgical excision of the thoracic neuroenteric cyst, the patient has made a good recovery.
作者描述了一例男性新生儿神经管分裂综合征病例，表现为颈胸畸形、胸神经肠囊肿、独立的腹部十二指肠重复囊肿和同时存在的肠旋转不良。这种异常的组合非常罕见。当怀疑这些病变时，必须仔细检查患者。本病例不仅要叙述一组罕见的结构异常，还要提高对提示临床怀疑和及时诊断的体征的认识。胸神经肠囊肿切除术后，患者恢复良好。
