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2005-04-03-12 Answer to the Case of the week #142 © Cuillier
Answer to the Case of the week #142

April 22 - May 6, 2005

Fabrice Cuillier, MD, Jean Luc Michel, MD
Dept of Obstetrics and Gynecology, Hôpital Félix Guyon, rue des Topazes, 97400 Saint-Denis, Reunion Island, France. Ph : 0262 90 55 22.

This is a woman who presented for a routine antenatal at 19 weeks of gestation. Serial ultrasounds were performed after that and the following images demonstrated a dumbbell-shaped cystic structure that extended both in the chest and in the abdomen:

As the gestation progressed, the abdominal portion enlarged faster then the chest portion:

The original suspicion was a bronchogenic cyst, but the extension and growth of the abdominal portion brough this diagnosis into question. Nevertheless, after delivery, this child was operated upon and a Bronchogenic cyst  was removed:

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