Large lingual heterotopic gastrointestinal cyst in a newborn:A case report  

作　　者：Atsushi-Doksa Lee Kazuma Harada Susumu Tanaka Yusuke Yokota Takashi Mima Akifumi Enomoto Mikihiko Kogo 

机构地区：[1]First Department of Oral and Maxillofacial Surgery,Graduate School of Dentistry,Osaka University,Suita 565-0871,Osaka,Japan [2]Department of Oral and Maxillofacial Surgery,Faculty of Medicine,Kindai University,Osaka-Sayama 589-8511,Osaka,Japan [3]Department of Oral and Maxillofacial Surgery,Daini Osaka Police Hospital,Osaka 543-8922,Osaka,Japan

出　　处：《World Journal of Clinical Cases》2020年第17期3808-3813,共6页世界临床病例杂志

摘　　要：BACKGROUND Heterotopic gastrointestinal cysts have gastrointestinal epithelium in the cyst wall and rarely occur in the oral cavity.Most are found in the neonatal period.However,heterotopic gastrointestinal cysts that are diagnosed as a congenital tongue cyst by routine ultrasonography are extremely rare.CASE SUMMARY A 12-day-old female presented with swelling of the anterior tongue.The obstetrician had detected significant tongue swelling on fetal ultrasonography in the 35 th gestational week.The female was born by cesarean delivery at gestational week 39.She soon became dyspneic,and the cyst was aspirated.After the aspiration,her breathing recovered and she started breastfeeding.The cyst was excised under general anesthesia on the 67 th day.Histopathologic examination showed that that cyst wall consisted of a lining of columnar gastrointestinal-type epithelium and pseudostratified ciliated epithelium.The patient restarted breastfeeding 3 h after surgery.The postoperative course was uneventful.CONCLUSION Airway distress and feeding difficulty were successfully avoided by cyst aspiration,and surgical resection was performed with no perioperative complications.

关 键 词：Tongue cyst Congenital cyst Prenatal diagnosis Airway management Gastrointestinal epithelium Case report 

分 类 号：R722.1[医药卫生—儿科]