BMJ Case Reports 2017; doi:10.1136/bcr-2017-222537
  • Unusual presentation of more common disease/injury

Perforated neuroenteric cyst masquerading as congenital pulmonary airway malformation

  1. Devendra Kumar Gupta
  1. Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Vishesh Jain, dr.vishesh79{at}
  • Accepted 20 November 2017
  • Published 2 December 2017


A 3-month-old child was presented with haemoptysis with respiratory distress. Imaging was suggestive of a cavitary lesion in the lung with surrounding consolidation. Diagnosis of a primary lung pathology like congenital pulmonary airway malformation was considered. Based on clinical suspicion and prior experience, a Tc-99m pertechnetate radionuclide study was performed, which clinched the diagnosis of foregut duplication cyst. Intraoperative findings confirmed the presence of a neuroenteric cyst. The child remains asymptomatic on follow-up awaiting neurosurgical intervention for the intraspinal component of the cyst.


  • Contributors SG and VJ prepared the manuscript. SS and DKG did the literature search and refined the manuscript. The case was managed under the case of all the authors. VJ and DKG are the guarantors of the manuscript.

  • Competing interests None declared.

  • Patient consent Guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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