Pathology of the Pleura and Mediastinum

2018 Edition
| Editors: Timothy Craig Allen, Saul Suster

Enteric Cyst, Mediastinal

  • Iva BrcicEmail author
Reference work entry


Enterogenous cyst; Foregut duplication cyst; Gastroenteric cyst


Enteric cyst is unilocular congenital cyst lined with different types of enteric epithelial cells, like parietal and chief cells of stomach, small and large intestinal epithelial cells, and also squamous and ciliated columnar cells. It is formed during the third and fourth week of intrauterine life when the embryonic endoderm and notochord fuse and separate. If adhesions between those two structures persist during the separation, cysts and thoracic or vertebral malformations will develop. Mediastinal enteric cyst may enlarge and produce airway obstruction, caught, pain, and dysphagia.

Clinical Features

  • Incidence

    Rare but a real incidence is not known.

  • Age

    Any age. Most frequently found in infancy or childhood.

  • Sex

    Male predominance.

  • Site

    Mediastinum (usually right posterior mediastinum in retrocardiac position).

  • Treatment

    Surgery and percutaneous needle aspiration.

  • Outcome

    Generally good. There are...

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References and Further Reading

  1. Kamal, N. R., Magu, S., & Rohilla, S. (2004). Mediastinal foregut duplication cysts. Indian Journal of Pediatrics, 71, 103–105.CrossRefGoogle Scholar
  2. Khan, M. U., Saidy, K. M., Ousulimane, M., & Khan, M. D. (2004). Posterior mediastinal gastroenteric cyst in neonate. Saudi Medical Journal, 25, 955–957.PubMedGoogle Scholar
  3. Plaza, J. A., Moran, C. A., & Suster, S. (2010). Thymus and mediastinum. In P. Gattuso, V. B. Reddy, O. David, D. J. Spitz, & M. H. Haber (Eds.), Differential diagnosis in surgical pathology (pp. 283–284). Philadelphia: Saunders Elsevier.Google Scholar
  4. Shimosato, Y., Mukai, K., & Matsuno, Y. (2010). Bronchogenic cyst. In S. G. Silverberg (Ed.), AFIP atlas of tumor pathology. Tumors of the mediastinum (p. 307). Washington, DC: American Registry of Pathology.Google Scholar
  5. Singhal, V., Shenoy, R. D., Kamath, N., & Rao, S. (2012). Mediastinal enteric cyst in a neonate. Journal of Clinical Neonatology, 1, 149–151.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Institute of Pathology, Medical University of GrazGrazAustria