RESUMO
Neurenteric cysts are rare, with fewer than 30 cases noted in the literature. We report the case of a newborn infant with respiratory distress caused by a large neurenteric cyst that was identified by prenatal ultrasound. Treatment consisted of excision of the mass through a right posterolateral thoracotomy. The cyst adhered to the spine at the level of the first thoracic vertebra and communicated with the jejunum through a posterior diaphragmatic defect. Postoperative studies with magnetic resonance imaging (MRI) and computed tomography (CT) disclosed an anterior meningocele and tethering of the spinal column. This is the second reported case of a neurenteric cyst demonstrated by prenatal ultrasound. The presence of an intrathoracic cyst associated with spinal abnormalities is characteristic of this anomaly. With imaging techniques such as MRI and CT, we may detect residual intraspinal disease associated with neurenteric cysts.
Assuntos
Espinha Bífida Oculta/diagnóstico , Feminino , Humanos , Recém-Nascido , Imageamento por Ressonância Magnética , Gravidez , Espinha Bífida Oculta/diagnóstico por imagem , Espinha Bífida Oculta/patologia , Espinha Bífida Oculta/cirurgia , Tomografia Computadorizada por Raios X , Ultrassonografia Pré-NatalRESUMO
Autosomal dominant polycystic kidney disease presenting in the fetus or newborn is rare, only 22 cases having been reported in the literature. A case is reported of a premature newborn infant with severe renal involvement and extrarenal associated abnormalities. The literature is reviewed, and the importance of considering this entity in infants with polycystic kidney disease is discussed since it may affect both genetic counseling and surgical management when radiographically detected.
Assuntos
Doenças Fetais/genética , Genes Dominantes , Doenças Renais Policísticas/genética , Feminino , Doenças Fetais/patologia , Humanos , Recém-Nascido , Rim/patologia , Masculino , Linhagem , Doenças Renais Policísticas/patologia , Gravidez , Diagnóstico Pré-NatalRESUMO
Of 60 surgically removed multicystic, dysplastic kidneys examined for the presence of nodular renal blastema only 1 (2 per cent) had blastematous elements. Of the 60 patients 35 were from the authors' personal series and they were examined in clinical detail. The results of this study and those in the literature are discussed in relation to the over-all management of the asymptomatic multicystic, dysplastic kidney.
Assuntos
Doenças Renais Císticas/patologia , Neoplasias Renais/patologia , Rim/patologia , Tumor de Wilms/patologia , Criança , Feminino , Humanos , Doenças Renais Císticas/complicações , Doenças Renais Císticas/cirurgia , Neoplasias Renais/complicações , Masculino , Tumor de Wilms/complicaçõesRESUMO
A case of severe congenital Uhl's anomaly is described. Uhl's anomaly is a rare disorder characterized by near total absence of the right ventricular myocardium. Antenatal ultrasound and echocardiographic findings are presented and the differential diagnosis is discussed.
