Ultrasound guided drainage of an esophageal duplication cyst in a newborn in respiratory distress

Newborns with chest masses may present with respiratory distress in the perinatal period. We present the case of a term male infant with a cystic right upper chest mass born in respiratory distress at 39 4/7 weeks gestation who underwent ultrasound guided percutaneous drainage of the mass. The patient responded well to the percutaneous drainage and two days later the mass was surgically excised. Final pathology revealed an esophageal duplication cyst. This report describes a unique management of a patient with a congenital cystic chest mass presenting in respiratory distress.