A Rare Case of Ectopic Colonic Mucosa Presenting With Airway Compromise in a Neonate

Justin Hall; Fatima Z Aly; Julia Comer; Michael P Gebhard; Thomas Schrepfer

doi:10.7759/cureus.27031

A Rare Case of Ectopic Colonic Mucosa Presenting With Airway Compromise in a Neonate

Cureus. 2022 Jul 19;14(7):e27031. doi: 10.7759/cureus.27031. eCollection 2022 Jul.

Authors

Justin Hall¹, Fatima Z Aly², Julia Comer³, Michael P Gebhard⁴, Thomas Schrepfer⁴

Affiliations

¹ Otolaryngology, Wake Forest School of Medicine, Winston-Salem, USA.
² Department of Pathology, Immunology, and Laboratory Medicine, University of Florida College of Medicine, Gainesville, USA.
³ Otolaryngology, University of Illinois at Chicago, Chicago, USA.
⁴ Otolaryngology, University of Florida College of Medicine, Gainesville, USA.

Abstract

This case report documents a rare and unique presentation of an oropharyngeal duplication cyst and subsequent neonatal airway management. A one-day-old premature female presented with postpartum respiratory distress requiring emergent intubation secondary to an oropharyngeal mass of the left tongue. After being stabilized and transferred to an academic center, imaging revealed a cystic lesion that was then marsupialized and drained by the otolaryngology team. Pathology demonstrated mature colonic tissue and was consistent with an enteric duplication cyst. This report highlights the importance of prenatal diagnosis and the potential of a lifesaving ex utero intrapartum treatment (EXIT) procedure.

Keywords: congenital mass; enteric duplication cyst; neonatal respiratory distress; oropharynx; pathology; pediatric otolaryngology.

Publication types

Case Reports