Assuntos
Epilepsia , Guias de Prática Clínica como Assunto , Adolescente , Adulto , Criança , Humanos , Epilepsia/diagnóstico , Epilepsia/terapiaRESUMO
Here we describe a case of antenatally diagnosed congenital cystic adenomatoid malformation. Due to increasing cyst size and fetal hydrops an antenatal drain was inserted. The lesion was excised surgically soon after birth due to significant respiratory distress. During histological assessment an area of squamous metaplasia was found within the cyst wall. This developed as a result of the drain placement. At 4-year follow-up the child remains well and has experienced no long-term respiratory sequalae.
Assuntos
Malformação Adenomatoide Cística Congênita do Pulmão/patologia , Cistos/patologia , Doenças Fetais/patologia , Feto , Pulmão/patologia , Adulto , Malformação Adenomatoide Cística Congênita do Pulmão/complicações , Malformação Adenomatoide Cística Congênita do Pulmão/diagnóstico por imagem , Malformação Adenomatoide Cística Congênita do Pulmão/cirurgia , Cistos/complicações , Cistos/diagnóstico por imagem , Cistos/cirurgia , Drenagem , Feminino , Doenças Fetais/diagnóstico por imagem , Doenças Fetais/cirurgia , Humanos , Hidropisia Fetal/etiologia , Hidropisia Fetal/cirurgia , Recém-Nascido , Metaplasia , Síndrome do Desconforto Respiratório do Recém-Nascido/etiologia , Síndrome do Desconforto Respiratório do Recém-Nascido/cirurgia , Ultrassonografia Pré-NatalRESUMO
Management of oesophageal perforation in extremely premature babies is a challenge and carries a high morbidity. The authors report their experience of three separate cases of oesophageal perforation they encountered over the last 18 months in extremely premature neonates. In the first case, the diagnosis of oesophageal perforation was known in an otherwise stable baby who was treated conservatively with a good outcome. In the second and third cases, the patients proceeded to thoracotomy before the diagnosis of a perforated oesophagus was unveiled. A subsequent diagnosis of trisomy 18 and complex cardiac anomalies in the second case proved incompatible with life and treatment was withdrawn. In the final case, an oesophagostomy was fashioned with a gastrostomy for feeding postoperatively and gastric interposition is planned later this year.
