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J Thorac Cardiovasc Surg 2003;126:584-585
© 2003 The American Association for Thoracic Surgery

Brief communication

A giant gastroenteric cyst associated with pectus excavatum and compression of the thoracic duct: a case report

Ismail Reisli, MDa, Olgun Kadir Aribas, MDb,*, Yavuz Koksal, MDa, Mustafa Cihat Avunduk, MDc, Hasan Koc, MDa

a Department of Pediatrics,, Meram Medical School of Selcuk University, Meram-Konya, Turkey
b Department of Thoracic Surgery,, Meram Medical School of Selcuk University, Meram-Konya, Turkey
c Department of Pathology, Meram Medical School of Selcuk University, Meram-Konya, Turkey

Received for publication January 7, 2003; accepted for publication January 28, 2003.

* Address for reprints: Olgun Kadir Aribas, MD, Selcuk Universitesi Meram Tip Fakultesi, Gogus Cerrahisi Anabilim Dali, 42080, Meram-Konya, Turkey
olgun@selcuk.edu.tr

Key Words: 13

The first 20% of the full text of this article appears below.


Dr Aribas


Gastroenteric cysts are unusual developmental cysts encountered in the posterior mediastinum of patients. They are usually lined by alimentary (squamous or enteric) epithelium and contain gastric mucosa and, rarely, pancreatic tissue. Gastroenteric cysts are usually associated with vertebral abnormalities and less often with complete situs inversus.1 We present a case of a gastroenteric cyst with pectus excavatum and compression of the thoracic duct.

Clinical summary

A 6-month-old girl was admitted to the pediatric emergency unit with fever, cough, and dyspnea. On her past medical history, the presence of such a cyst in the right hemithorax had been demonstrated at the intrauterine 32nd week by means of ultrasonography (Figure 1, A), and the cyst had been aspirated to diminish its pressurizing effect. The patient was free of symptoms until 6 months of age. Physical examination on presentation revealed cyanosis, tachypnea, intercostal retractions, severe pectus excavatum, . . . [Full Text of this Article]






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