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Foregut duplication cyst: a novel computed tomography finding mimicking a small bowel hernia: A case report.

Abstract A foregut duplication cyst (FDC) is an uncommon congenital disease. This report presents a case of mediastinal foregut duplication cyst that mimicked a diaphragmatic small bowel hernia.
PMID
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Authors

Mayor MeshTerms

Tomography, X-Ray Computed

Keywords
Journal Title medicine
Publication Year Start




PMID- 29390328
OWN - NLM
STAT- MEDLINE
DCOM- 20180213
LR  - 20180213
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 50
DP  - 2017 Dec
TI  - Foregut duplication cyst: a novel computed tomography finding mimicking a small
      bowel hernia: A case report.
PG  - e9184
LID - 10.1097/MD.0000000000009184 [doi]
AB  - RATIONALE: A foregut duplication cyst (FDC) is an uncommon congenital disease.
      This report presents a case of mediastinal foregut duplication cyst that mimicked
      a diaphragmatic small bowel hernia. PATIENT CONCERN: A 27-month-old girl was
      first referred for a mediastinal lesion found incidentally on a chest radiograph.
      At that time, our impression was cystic lung lesion such as congenital pulmonary 
      airway malformation or pulmonary sequestration. At the age 6 years, she presented
      with recurrent vomiting. The physical examination and laboratory studies were
      within normal limits. DIAGNOSES: Chest CT revealed a thin- and smooth-walled
      cystic mass containing an air-fluid level in the left paravertebral space. It had
      several inner circular folds and characteristic double-layer enhancement and
      inner circular fold. Our radiological impression was a type I congenital cystic
      adenomatoid malformation. INTERVENTIONS: The patients undergone video-assisted
      thoracoscopic surgery for excision. The operative finding was the cystic mass
      with smooth bowel-like outer surface and located between the aorta and heart. The
      cyst was excised and confirmed to be a foregut duplication cyst pathologically.
      OUTCOMES: The patient was doing well with no postoperative complications during
      follow-up. Recurrent vomiting was improved. This is the first case report
      describing foregut duplication cyst mimicking a small bowel hernia. LESSONS:
      Foregut duplication cysts are rare congenital anomalies of primitive foregut
      origin. They can occur at any level of the alimentary track and comprise
      approximately 10% of all mediastinal tumors. Its characteristic double-layered
      histopathological nature, an FDC can show a double-layered enhancement pattern,
      which is typical in the alimentary tract.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Choi, Ji Eun
AU  - Choi JE
AD  - Department of Radiology.
FAU - Lim, Soyeoun
AU  - Lim S
AD  - Department of Radiology.
FAU - Park, Chang Ryul
AU  - Park CR
AD  - Thoracic and Cardiovascular Surgery.
FAU - Cha, Hee Jeong
AU  - Cha HJ
AD  - Pathology of Ulsan University Hospital, University of Ulsan College of Medicine, 
      Ulsan, Republic of Korea.
FAU - Kwon, Woon-Jung
AU  - Kwon WJ
AD  - Department of Radiology.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Child
MH  - Female
MH  - Hernia/diagnostic imaging
MH  - Humans
MH  - Incidental Findings
MH  - Intestine, Small/diagnostic imaging
MH  - Mediastinal Cyst/*congenital/*diagnostic imaging/surgery
MH  - Thoracic Surgery, Video-Assisted
MH  - *Tomography, X-Ray Computed
EDAT- 2018/02/03 06:00
MHDA- 2018/02/14 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/14 06:00 [medline]
AID - 10.1097/MD.0000000000009184 [doi]
AID - 00005792-201712150-00078 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(50):e9184. doi: 10.1097/MD.0000000000009184.