Case presentation: Spinal enterogenic cyst

In this case presentation, we present a two year old patient who has undergone operation for three times because of dorsal meningocele and intramedullary cyst at the same level. During the first operation, followirýg cyst aspiration the meningocele was repaired, however histopathologic diagnosis could not he established. One year later, as the patients clinical findings had progressed, a recurrent cyst was visualized with MR imaging. Thus, a second operation was performed, this time replacing a cysto-subarachnoid shunt. However, one month later, the cyst recurred for the third time and during the operation a biopsy from the cyst wall was performed. At the histopathologic examination, a diagnosis of spinal enterogenic cyst was established. During the one year follow -up period there was rýo other recurrences.
The spinal enterogerýic cyst cases are extremely rare, and when we review the 52 cases in the literature since 1934, ours is the third one visualized with MR imaging. in this case presentation, we tried to reanalyze the subject, reviewing the related literature.

Spinal Enterojenik Kist Olgusu

Bu çalýşmamýzda dorsal Meningosel ve ayný seviyede intramedüller kist nedeniyle üç kez opere edilen iki yaşýnda hasta sunulmaktadýr. İlk ameliyatta meningosel tamiri ve kist aspirasyonu yapýlmýş, ancak histopatolojik taný konulamamýştýr. 1 yýl sonra hastada klinik bulgular progresyon göstererek MR görüntülemede nüks kist saptamasý ile yeniden opere edildi. Bu kez kisto-suharaknoid shunt konuldu. Ancak 1 ay sonra yeniden nüks kist saptandý ve üçüncü kez operasyona alýndý. Bu kez kist duvarýndan biyopsi alýndý. Yapýlan histopatolojik inceleme ile spinal enterojenik kist tanýsý konuldu. Hastanýn 1 yýllýk takiplerinde nüks saptanmadý.
Spinal enterojenik kist son derece nadir görülen bir olgu olup, 1934 yýlýndan beri bildirilen 52 olgu ile karşýlaştýrýl­dýğýnda MR görüntülenmesi yapýlan üçüncü olgudur. Bu çalýşmamýzda literatür bulgularý ýşýğýnda konuyu irdelemeye çalýştýk.