Congenital intrapulmonary bronchogenic cyst in the neonate-perinatal management

Approximately 50% of all congenital lung malformations are pulmonary and me diastinal bronchogenic cysts (BC). Therefore, their diagnosis and managemen t is of clinical importance. Usually asymptomatic in the first months of li fe, bronchogenic cysts are frequently clinically inapparent even adulthood. Early diagnosis and elective surgery can prevent late complications such a s pneumothorax, pulmonary hypertension, and recurrent infections; prognosis after surgery is excellent. If mediastinal shifting is present, fetal thor acocentesis is indicated to prevent cardiovascular insufficiency. We report a case of a prenatally diagnosed intrapulmonary BC of the right lung. Foll owing in utero thoracocentesis of the cyst and transient spontaneous regres sion postnatal on set of severe clinical symptoms due to rapidly developing hyperinflation and mediastinal shifting within the first days of life requ ired early surgical intervention.