关键词: congenital mass enteric duplication cyst neonatal respiratory distress oropharynx pathology pediatric otolaryngology congenital mass enteric duplication cyst neonatal respiratory distress oropharynx pathology pediatric otolaryngology

来  源:   DOI:10.7759/cureus.27031   PDF(Pubmed)

Abstract:
This case report documents a rare and unique presentation of an oropharyngeal duplication cyst and subsequent neonatal airway management. A one-day-old premature female presented with postpartum respiratory distress requiring emergent intubation secondary to an oropharyngeal mass of the left tongue. After being stabilized and transferred to an academic center, imaging revealed a cystic lesion that was then marsupialized and drained by the otolaryngology team. Pathology demonstrated mature colonic tissue and was consistent with an enteric duplication cyst. This report highlights the importance of prenatal diagnosis and the potential of a lifesaving ex utero intrapartum treatment (EXIT) procedure.
摘要:
此病例报告记录了口咽重复囊肿的罕见且独特的表现以及随后的新生儿气道管理。一名一天大的早产女性出现产后呼吸窘迫,需要继发于左舌口咽肿块的紧急插管。在稳定下来并转移到学术中心后,影像学检查显示为囊性病变,然后由耳鼻咽喉科研究小组进行了袋式治疗和引流。病理显示结肠组织成熟,与肠重复囊肿一致。本报告强调了产前诊断的重要性以及挽救子宫外产时治疗(EXIT)程序的潜力。
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