The combination of a thoracic cystic mass with vertebral anomalies on prena
tal ultrasound suggests a neurenteric cyst. The outcome of such cysts mostl
y depends on the extent of the displacement and functional impairment of th
e adjacent organs and of the associated central nervous system defects. We
present a case of a neurenteric cyst diagnosed on prenatal ultrasound at 34
weeks of gestation which was treated successfully in the early neonatal pe
riod.