Mediastinal Cysts and Duplications in Infants and Children

Priscilla Chiu, Jacob C. Langer

Key Points

Cystic lesions in the mediastinum are uncommon in infants and children Most cystic lesions in infants and children are benign Symptoms from the cystic lesions arise from mass effect on adjacent structures or infectious and inflammatory complications Complete surgical excision is required for any symptomatic mediastinal cyst unless there is a common wall to the airway or esophagus of a foregut cyst Prenatal diagnosis of cystic lesions warrant consultation with a multi-disciplinary team, especially for cases involving fetal distress

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