Foregut duplication cyst with vertebral anomalies
Updates to Case Attributes
Foregut duplication cysts are congenital malformations due to abnormal division of the primitive foregut during early intrauterine life.
It is classified into three groups:
Enteric cysts are typically closely related to the gastrointestinal tract and may contain one or two muscle layers. The cyst may lie within the musulcaris propria which splits around the lesion. ContractionMuscle contraction is sometimes observed in the cyst wall on ultrasound. The less common tubular cysts may communicate with the gut lumen. Vertebral anomalies occur infrequently.
Biopsy carries a significant risk of infection and is usually avoided. Symptomatic lesions are excised and histology is characteristic. Ectopic elements may be present including gastric mucosa or pancreatic tissue which can give rise to ulceration, haemorrhage or perforation. Malignancy is rare.
Uncomplicated bronchogenic cysts are thin-walled and typically parabronchial. Neurenteric cysts present with neurological features due to theirintraspinal location and have associated vertebral anomalies.
-<li><p>bronchogenic cyst</p></li>-<li><p>enteric cyst</p></li>-<li><p>neurenteric cyst</p></li>-</ul><p>Enteric cysts are typically closely related to the gastrointestinal tract and may contain one or two muscle layers. The cyst may lie within the musulcaris propria which splits around the lesion. Contraction is sometimes observed on ultrasound. The less common tubular cysts may communicate with the gut lumen. Vertebral anomalies occur infrequently.</p><p>Biopsy carries a significant risk of infection and is usually avoided. Symptomatic lesions are excised and histology is characteristic. Ectopic elements may be present including gastric mucosa or pancreatic tissue which can give rise to ulceration, haemorrhage or perforation. Malignancy is rare.</p><p>Uncomplicated bronchogenic cysts are thin-walled and typically parabronchial. Neurenteric cysts present with neurological features due to their intraspinal location and have associated vertebral anomalies.</p>- +<li><p><a href="/articles/bronchogenic-cyst" title="Bronchogenic cyst">bronchogenic cyst</a></p></li>
- +<li><p><a href="/articles/oesophageal-duplication-cyst" title="Esophageal duplication cyst">enteric cyst</a></p></li>
- +<li><p><a href="/articles/spinal-neurenteric-cyst" title="Spinal neurenteric cyst">neurenteric cyst</a></p></li>
- +</ul><p>Enteric cysts are typically closely related to the gastrointestinal tract and may contain one or two muscle layers. The cyst may lie within the musulcaris propria which splits around the lesion. Muscle contraction is sometimes observed in the cyst wall on ultrasound. The less common tubular cysts may communicate with the gut lumen. Vertebral anomalies occur infrequently.</p><p>Biopsy carries a significant risk of infection and is usually avoided. Symptomatic lesions are excised and histology is characteristic. Ectopic elements may be present including gastric mucosa or pancreatic tissue which can give rise to ulceration, haemorrhage or perforation. Malignancy is rare.</p><p>Uncomplicated bronchogenic cysts are thin-walled and typically parabronchial. Neurenteric cysts present with neurological features due to their intraspinal location and have associated vertebral anomalies.</p>
References changed:
- 5. Sangüesa Nebot C, Llorens Salvador R, Carazo Palacios E, Picó Aliaga S, Ibañez Pradas V. Enteric Duplication Cysts in Children: Varied Presentations, Varied Imaging Findings. Insights Imaging. 2018;9(6):1097-106. <a href="https://doi.org/10.1007/s13244-018-0660-z">doi:10.1007/s13244-018-0660-z</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/30311079">Pubmed</a>
- 6. Adler D & Liu R. Duplication Cysts: Diagnosis, Management, and the Role of Endoscopic Ultrasound. Endosc Ultrasound. 2014;3(3):152. <a href="https://doi.org/10.4103/2303-9027.138783">doi:10.4103/2303-9027.138783</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25184121">Pubmed</a>
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