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 2016-10-02  Case of the week # 436  © Emmanuel Julien  www.TheFetus.net
Answer to the case of the week # 436
January 5, 2017 - January 19, 2017.

Emmanuel Julien
, MD
Centre hospitalier Le Mans, France.
 

Case report

A 32-year old patient (G1P0), without consanguinity, smoking history and a bariatric surgery, was referred to our unit at 18 weeks of gestational age. Our ultrasound exams at 18 and 22 weeks of pregnancy revealed a large posterior mediastinal cyst at the middle and right side of the thorax, and cervical and dorsal vertebral anomalies.
Our prenatal diagnosis was cystic duplication of the oesophagus.

An amniocentesis with CGH was done with a normal result (XY).

The newborn was delivered at 38 weeks (2640 gr.) without complications.

A postnatal MRI was done and confirmed our diagnosis: cystic duplication of the oesophagus and vertebral anomalies.

 

Images 1-6: 2D images at 18 weeks of gestational age show a large cystic mediastinal lesion near the aorta, with no communication with the stomach.

   


Images 7-10
2D and 3D images at 22 weeks of gestational age show a duplication cyst of the oesophagus and vertebral anomalies.

  



Videos 1-42D images showing a duplication cyst of the oesophagus and vertebral anomalies.

  

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