Neonatal airway obstruction due to a massive lingual foregut duplication cyst

BMJ Case Rep. 2020 Oct 29;13(10):e233907. doi: 10.1136/bcr-2019-233907.

Abstract

Foregut duplication cysts (FDCs) are rare malformations arising along primitively derived alimentary tract. Head and neck cases comprise 0.3% of all FDCs with 60% occurring in the oral cavity. We present a case of neonatal airway obstruction secondary to a prenatally diagnosed massive lingual FDC. Definitive treatment requires surgical excision. Histologically, the cysts are lined gastric and respiratory epithelium. FDC should be a consideration in prenatally diagnosed masses affecting the oral cavity.

Keywords: ear; head and neck surgery; neonatal intensive care; nose and throat/otolaryngology; otolaryngology / ENT; paediatrics.

Publication types

  • Case Reports

MeSH terms

  • Airway Obstruction / diagnosis
  • Airway Obstruction / etiology*
  • Airway Obstruction / surgery
  • Biopsy
  • Cysts / complications*
  • Cysts / congenital
  • Cysts / diagnosis
  • Humans
  • Infant, Newborn
  • Magnetic Resonance Imaging
  • Male
  • Oral Surgical Procedures / methods
  • Tongue / diagnostic imaging*
  • Tongue / surgery
  • Tongue Diseases / complications*
  • Tongue Diseases / congenital
  • Tongue Diseases / diagnosis
  • Ultrasonography