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1
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Jiang B, Xie T, Hu J, Xu Y, Zhang H. Retroperitoneal bronchogenic cyst: a case report and literature review. Front Oncol 2024; 14:1406270. [PMID: 39544288 PMCID: PMC11560907 DOI: 10.3389/fonc.2024.1406270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2024] [Accepted: 10/07/2024] [Indexed: 11/17/2024] Open
Abstract
Introduction Retroperitoneal bronchogenic cyst, typically situated in the subdiaphragmatic region, is a rare congenital benign developmental abnormality arising from dysplasia of the foregut and abnormal budding of the tracheobronchial tree. Due to its low incidence, there are limited reports regarding this condition. Case presentation Four retroperitoneal bronchogenic cysts near the left adrenal gland were identified without accompanying clinical symptoms. One case was misdiagnosed as an adrenal tumor prior to surgery, while the others were diagnosed as retroperitoneal cysts of uncertain origin. All cases underwent surgical resection, with three being performed laparoscopically and one utilizing robot-assisted techniques. Pathological reports confirmed the diagnosis of bronchogenic cyst in each instance. The prognosis was favorable for all four patients, with no complications or recurrences observed. Additionally, a literature review was conducted, encompassing 82 cases, which revealed similar characteristics and radiological manifestations in the majority of cases. Conclusion Although retroperitoneal bronchogenic cysts are rare developmental malformations lacking distinctive clinical and radiological features, reported cases exhibit similarities in certain clinical and imaging characteristics. This report offers additional insights into the diagnosis and management of this rare disease. Future reports are essential to enhance understanding of this disease.
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Affiliation(s)
- Bohao Jiang
- Department of Urology, The First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Tiantian Xie
- Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Jiyuan Hu
- Department of Urology, The First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Yitong Xu
- Department of Pathology, The First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Hao Zhang
- Department of Urology, The First Hospital of China Medical University, Shenyang, Liaoning, China
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2
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Xiao J, Zhang X, Zhou H, Hong T, Li B, He X, Liu W. Subdiaphragmatic bronchogenic cysts: Case series and literature review. Front Med (Lausanne) 2022; 9:993091. [PMID: 36275826 PMCID: PMC9581013 DOI: 10.3389/fmed.2022.993091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 09/12/2022] [Indexed: 12/01/2022] Open
Abstract
Bronchogenic cysts are congenital malformations caused by aberrant foregut budding. They major occur in the thorax, with subdiaphragmatic cases being uncommon. Here, we present a series of 19 patients diagnosed with subdiaphragmatic bronchogenic cysts histopathologically at a single institution in China from 2012 to 2021. A literature review was also conducted by searching the PubMed database using keywords related to "bronchogenic cysts" and "subdiaphragmatic," yielding 107 cases. Taken together, the 126 cases had a median age of 41.0 years (interquartile range, 30.0-51.0 years) and 62 of them were male (49.2%). The cysts were most commonly detected in the left adrenal region (36.2%), followed by the pancreatic region (11.5%) and gastric cardia/lesser curvature of the stomach (9.2%). All patients except two underwent surgery for a definite diagnosis, symptom alleviation, and (or) malignancy prevention. Most patients recovered fast and were discharged from the hospital within 1 week after surgery, and the surgical complications were infrequent. The prognosis was generally favorable, as no recurrence was reported during the follow-up as long as 77 months.
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Affiliation(s)
- Jianchun Xiao
- Department of General Surgery, Peking Union Medical College Hospital, Beijing, China
| | - Xueyang Zhang
- Tsinghua University School of Medicine, Beijing, China
| | - Hongru Zhou
- Department of General Surgery, Peking Union Medical College Hospital, Beijing, China
| | - Tao Hong
- Department of General Surgery, Peking Union Medical College Hospital, Beijing, China
| | - Binglu Li
- Department of General Surgery, Peking Union Medical College Hospital, Beijing, China
| | - Xiaodong He
- Department of General Surgery, Peking Union Medical College Hospital, Beijing, China
| | - Wei Liu
- Department of General Surgery, Peking Union Medical College Hospital, Beijing, China
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3
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Gong YY, Qian X, Liang B, Jiang MD, Liu J, Tao X, Luo J, Liu HJ, Feng YG. Retroperitoneal tumor finally diagnosed as a bronchogenic cyst: A case report and review of literature. World J Clin Cases 2022; 10:6679-6687. [PMID: 35979308 PMCID: PMC9294898 DOI: 10.12998/wjcc.v10.i19.6679] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 02/10/2022] [Accepted: 05/08/2022] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Retroperitoneal bronchogenic cyst (RBC) is an extremely rare developmental abnormality. Most are benign tumors but malignant transformation is possible. Because of their anatomical position, RBCs are easily misdiagnosed as adrenal or pancreatic solid tumors on radiological evaluation. Here, we report a case of RBC, review the literature, and summarize some important features. CASE SUMMARY A 49-year-old woman was incidentally found to have a retroperitoneal tumor during a physical examination. Enhanced computed tomography and laboratory evaluations, including routine blood examination, blood biochemistry, 24-h urine 17 ketones, 17 hydroxyls, adrenocortical hormone, serum potassium concentration, serum amylase, lipase, and epithelial tumor markers, revealed a moderate density, 54 mm × 40 mm mass with a clear boundary near the left adrenal gland. The were no abnormalities in the blood and urine values. Because the patient had a history of hypertension and the location of the mass was adjacent to the adrenal gland, it was initially diagnosed as a left adrenal tumor and was resected by retroperitoneal laparoscopy. However, the pathological examination after surgery confirmed it to be a bronchogenic cyst. CONCLUSION Retroperitoneal laparoscopic surgery can be prioritized for symptomatic RBC patients. Conservative treatment is feasible for selected patients.
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Affiliation(s)
- Yang-Yang Gong
- Faculty of Medicine, Zunyi Medical University, Zunyi 563000, Guizhou Province, China
- Department of Urology, Suining Central Hospital, Suining 629000, Sichuan Province, China
| | - Xin Qian
- Faculty of Medicine, Zunyi Medical University, Zunyi 563000, Guizhou Province, China
- Department of Urology, Suining Central Hospital, Suining 629000, Sichuan Province, China
| | - Bo Liang
- Department of Urology, Suining Central Hospital, Suining 629000, Sichuan Province, China
| | - Ming-Dong Jiang
- Department of Urology, Suining Central Hospital, Suining 629000, Sichuan Province, China
| | - Jun Liu
- Department of Urology, Suining Central Hospital, Suining 629000, Sichuan Province, China
| | - Xing Tao
- Faculty of Medicine, Zunyi Medical University, Zunyi 563000, Guizhou Province, China
| | - Jing Luo
- Department of Urology, Suining Central Hospital, Suining 629000, Sichuan Province, China
| | - Hong-Jian Liu
- Department of Urology, Suining Central Hospital, Suining 629000, Sichuan Province, China
| | - You-Gang Feng
- Faculty of Medicine, Zunyi Medical University, Zunyi 563000, Guizhou Province, China
- Department of Urology, Suining Central Hospital, Suining 629000, Sichuan Province, China
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4
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Yuan K, Shu M, Ma Y, Feng W, Ye J, Yuan Y. Ectopic bronchogenic cyst in the retroperitoneal region: a case report and literature review of adult patients. BMC Surg 2021; 21:347. [PMID: 34544401 PMCID: PMC8454181 DOI: 10.1186/s12893-021-01341-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Accepted: 09/06/2021] [Indexed: 12/18/2022] Open
Abstract
Background Bronchogenic cyst is congenital aberration of bronchopulmonary malformation, which is rarely encountered in the abdomen and retroperitoneum. We present a case report and literature review of retroperitoneal bronchogenic cyst. Case presentation A 53-year-old female presented to outpatient clinic for a routine checkup of lumbar intervertebral disc herniation. She received a contrast computed tomography scan of the abdomen which revealed a retroperitoneal cystic lesion below the left crura of diaphragm. Afterward, the patient underwent a laparoscopic excision of the cystic lesion and was discharged uneventfully at postoperative day 4. Histopathological findings confirmed the diagnosis of retroperitoneal bronchogenic cyst. Our literature review identified 55 adult cases in recent two decades. The average age at diagnosis was 43.2 (range 17–69) years. 44 (80%) cases had a retroperitoneal cyst on the left side, and 52 (94.5%) cases underwent curative excision through open or laparoscopic surgery. In the available follow up of cases, there was no recurrence after surgery. Conclusions Bronchogenic cyst is rare in the retroperitoneal region. It should be considered as one of the differential diagnoses of a retroperitoneal neoplasm.
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Affiliation(s)
- Kaitao Yuan
- Center of Gastrointestinal Surgery, The First Affiliated Hospital, Sun Yat-sen University, No. 58 2nd Zhongshan Road, Guangzhou, 510080, Guangdong Province, People's Republic of China
| | - Man Shu
- Department of Pathology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, People's Republic of China
| | - Yan Ma
- Center of Gastrointestinal Surgery, The First Affiliated Hospital, Sun Yat-sen University, No. 58 2nd Zhongshan Road, Guangzhou, 510080, Guangdong Province, People's Republic of China
| | - Weidong Feng
- Center of Gastrointestinal Surgery, The First Affiliated Hospital, Sun Yat-sen University, No. 58 2nd Zhongshan Road, Guangzhou, 510080, Guangdong Province, People's Republic of China
| | - Jinning Ye
- Center of Gastrointestinal Surgery, The First Affiliated Hospital, Sun Yat-sen University, No. 58 2nd Zhongshan Road, Guangzhou, 510080, Guangdong Province, People's Republic of China
| | - Yujie Yuan
- Center of Gastrointestinal Surgery, The First Affiliated Hospital, Sun Yat-sen University, No. 58 2nd Zhongshan Road, Guangzhou, 510080, Guangdong Province, People's Republic of China.
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5
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Liang MK, Yee HT, Song JW, Marks JL. Subdiaphragmatic Bronchogenic Cysts: A Comprehensive Review of the Literature. Am Surg 2020. [DOI: 10.1177/000313480507101210] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Bronchogenic cysts are foregut-derived developmental anomalies most commonly encountered in the mediastinum and rarely in the abdomen or retroperitoneally. A comprehensive review of the English-language literature of subdiaphragmatic bronchogenic cysts (sBCs) revealed only 48 reported cases of sBC. Although most cases are incidentally discovered, preoperative differential diagnosis often includes tumors with malignant potential and necessitates surgical resection to obtain a definitive diagnosis. Herein, we describe a case of a 46-year-old female presenting with intermittent left flank pain, upon which computed tomography demonstrated a retroperitoneal mass. Upon resection, histopathology revealed the mass to be a thin-walled cystic mass lined by ciliated columnar cells and cartilage, consistent with a subdiaphragmatic bronchogenic cyst. A comprehensive literature review of sBC was also performed.
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Affiliation(s)
- Mike K. Liang
- Departments of Surgery, Bellevue Hospital, New York, New York
| | - Herman T. Yee
- Departments of Pathology, Bellevue Hospital, New York, New York
| | - Jae W. Song
- New York University School of Medicine, New York, New York
| | - Jenifer L. Marks
- Department of Surgery, New York Weill Cornell Medical Center, New York, New York
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6
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Cremona F, Sciuto A, Cassano DP, Parente P, Pirozzi F. A retroperitoneal bronchogenic cyst mimicking a pancreatic lesion: a rare mass found in the retroperitoneal region. Chirurgia (Bucur) 2019. [DOI: 10.23736/s0394-9508.18.04842-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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7
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Lin JS, Yu YR, Chiou EH, Chumpitazi BP, Schady DA, Brandt ML. Intramural esophageal bronchogenic cyst mimicking achalasia in a toddler. Pediatr Surg Int 2017; 33:119-123. [PMID: 27822780 DOI: 10.1007/s00383-016-3994-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/05/2016] [Indexed: 01/28/2023]
Abstract
Bronchogenic cysts are congenital malformations of the tracheobronchial tree. We describe a 20-month-old male who presented with persistent non-bilious emesis; manometry and imaging were consistent with esophageal achalasia. During a planned laparoscopic Heller myotomy, an intramural bronchogenic cyst was discovered in the anterior esophagus at the level of the gastroesophageal junction and successfully resected with resolution of his symptoms.
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Affiliation(s)
- Jessica S Lin
- Division of Pediatric Surgery, Michael E. DeBakey Department of Surgery, Texas Children's Hospital, Baylor College of Medicine, 6701 Fannin Street, Suite 1210, Houston, TX, 77030, USA
| | - Yangyang R Yu
- Division of Pediatric Surgery, Michael E. DeBakey Department of Surgery, Texas Children's Hospital, Baylor College of Medicine, 6701 Fannin Street, Suite 1210, Houston, TX, 77030, USA
| | - Eric H Chiou
- Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, 6701 Fannin Street, Suite 1010, Houston, TX, 77030, USA
| | - Bruno P Chumpitazi
- Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, 6701 Fannin Street, Suite 1010, Houston, TX, 77030, USA
| | - Deborah A Schady
- Department of Pathology, Texas Children's Hospital, Baylor College of Medicine, 1102 Bates Avenue Suite 830, Houston, TX, 77030, USA
| | - Mary L Brandt
- Division of Pediatric Surgery, Michael E. DeBakey Department of Surgery, Texas Children's Hospital, Baylor College of Medicine, 6701 Fannin Street, Suite 1210, Houston, TX, 77030, USA.
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8
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Legras A, Mordant P, Gibault L, Hernigou A, Le Pimpec Barthes F, Riquet M. [Diaphragmatic bronchogenic cyst: an exceptional location]. REVUE DE PNEUMOLOGIE CLINIQUE 2014; 70:357-361. [PMID: 25131363 DOI: 10.1016/j.pneumo.2014.05.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/08/2014] [Accepted: 05/04/2014] [Indexed: 06/03/2023]
Abstract
A 64-year-old man complained of persistent dyspnea and bilateral basi-thoracic pain with shoulder irradiation. Chest computed tomography revealed a heterogeneous left diaphragmatic mass, while magnetic resonance imaging showed hypo-T1 and hyper-T2 signal. Positron-emission tomography did not show any hypermetabolism. Video-assisted thoracic surgery was decided. At inspection, tumour appeared within the posterior costal part of the diaphragmatic muscle. Tumour resection was extended to a 8-cm-long portion of the lumbar part of diaphragm. Diaphragm was repaired with non-absorbable interrupted sutures. Postoperative course was uneventful. Final pathology revealed an intra-diaphragmatic bronchogenic cyst, which is an exceptional condition. Primary diaphragmatic tumours are very rare and preoperative diagnosis cannot be affirmed. Embryologic hypotheses (migration along the oesophagus or envelopment within diaphragmatic precursors of an abnormal supernumerary lung bud) including recent molecular findings of deregulated pathways (fibroblast growth factor-10 and NOTCH) are discussed.
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Affiliation(s)
- A Legras
- Département chirurgie thoracique et transplantation pulmonaire, université Paris-Descartes, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France
| | - P Mordant
- Département chirurgie thoracique et transplantation pulmonaire, université Paris-Descartes, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France
| | - L Gibault
- Service de cytologie et d'anatomie pathologique, université Paris-Descartes, hôpital européen Georges-Pompidou, 75015 Paris, France
| | - A Hernigou
- Service de radiologie, université Paris-Descartes, hôpital européen Georges-Pompidou, 75015 Paris, France
| | - F Le Pimpec Barthes
- Département chirurgie thoracique et transplantation pulmonaire, université Paris-Descartes, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France
| | - M Riquet
- Département chirurgie thoracique et transplantation pulmonaire, université Paris-Descartes, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
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9
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Govaerts K, Van Eyken P, Verswijvel G, Van der Speeten K. A bronchogenic cyst, presenting as a retroperitoneal cystic mass. Rare Tumors 2012; 4:e13. [PMID: 22532911 PMCID: PMC3325740 DOI: 10.4081/rt.2012.e13] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2011] [Accepted: 12/12/2011] [Indexed: 12/13/2022] Open
Abstract
Bronchogenic cysts are mostly benign, congenital abnormalities originating from the remnants of the primitive foregut. A retroperitoneal location is rare. Due to the mostly asymptomatic behavior and the historical confusion regarding histology, an exact prevalence is not known. We present here a case report of a retroperitoneal bronchogenic cyst. A literature review was performed for cases of retroperitoneal bronchogenic cysts written in English. Anatomopathological criteria for inclusion were pseudo stratified, ciliated, columnar epithelium together with the presence of at least one of the following: cartilage, smooth muscle or seromucous glands. In addition, the embryology, pathogenesis, radiological, clinical and suggested treatment modalities are reviewed. We report the surgical excision of a retroperitoneal bronchogenic cyst that presented as a non-functioning left adrenal mass. Our review of literature revealed only 62 potential cases of retroperitoneal bronchogenic cysts. After applying the strict anatomopathological criteria, only 30 cases of true retroperitoneal bronchogenic cysts could be identified. Retroperitoneal location of a bronchogenic cyst is rare. Despite the rarity of this pathologic entity, bronchogenic cysts should be considered in the differential diagnosis of retroperitoneal cystic lesions. Only histology can confirm definitive diagnosis. Surgery remains the recommended treatment of choice.
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Affiliation(s)
- Kim Govaerts
- Department of Surgical Oncology, Ziekenhuis Oost Limburg, Genk, Belgium
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10
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Perry KD, Cheng NL, Eberts P, Yang J. Ciliated cells in abdominal or pelvic fine needle aspirations: A case report and review of the literature. Diagn Cytopathol 2011; 41:71-6. [DOI: 10.1002/dc.21750] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2011] [Accepted: 05/06/2011] [Indexed: 01/11/2023]
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11
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Laparoscopic excision of subdiaphragmatic bronchogenic cyst occurring in the retroperitoneum: report of a case. Surg Laparosc Endosc Percutan Tech 2011; 20:e199-203. [PMID: 21150402 DOI: 10.1097/sle.0b013e3181fcbe92] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Although bronchogenic cysts (BCs) are benign congenital malformations usually occur in thoracic cavity, retroperitoneal location is extremely uncommon. We reported a case of BC occurred in the retroperitoneum, which was excised laparoscopically. A 64-year-old Japanese woman was admitted to the hospital because of submucosal tumor in the upper part of the stomach. An upper gastrointestinal endoscopy revealed a submucosal tumor located just distal to the esophagogastric junction. The abdominal computed tomography scan revealed a cystic mass located in contact with lesser curvature of the stomach and the dorsal surface of the liver. As the cystic mass was well-circumscribed and showed no positive findings suggestive of malignancy, the laparoscopic excision of the cystic mass was performed. The cystic tumor was completely excised with a laparoscopic procedure. The histologic findings indicated that the cyst was surfaced by the ciliated pseudostratified epithelium without the presence of the cartilage, which was compatible with the BC of the retroperitoneum. This case highlights the safety and the feasibility of complete laparoscopic excision of retroperitoneal BC. Laparoscopic excision of retroperitoneal BC definitely provides all advantages of minimally invasive procedure, which improves postoperative patient discomfort and pain and shortens hospital stay. Laparoscopic procedure may definitely be a standard approach for the excision of retroperitoneal BC.
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12
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Petrina A, Boselli C, Cirocchi R, Covarelli P, Eugeni E, Badolato M, Finocchi L, Trastulli S, Noya G. Bronchogenic cyst of the ileal mesentery: a case report and a review of literature. J Med Case Rep 2010; 4:313. [PMID: 20863380 PMCID: PMC2955622 DOI: 10.1186/1752-1947-4-313] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2010] [Accepted: 09/23/2010] [Indexed: 01/27/2023] Open
Abstract
Introduction Bronchogenic cyst is a rare clinical entity that occurs due to abnormal development of the foregut; the majority of bronchogenic cysts have been described in the mediastinum and they are rarely found in an extrathoracic location. Case presentation We describe the case of an intra-abdominal bronchogenic cyst of the mesentery, incidentally discovered during an emergency laparotomy for a perforated gastric ulcer in a 33-year-old Caucasian man. Conclusions Bronchogenic cyst should be considered in the differential diagnosis of subdiaphragmatic masses, even in an intraperitoneal location.
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Affiliation(s)
- Adolfo Petrina
- General and Oncological Surgery Unit, University of Perugia, Perugia, Italy.
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13
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Shin KW, Kang JH, Chung WS, Kim H, Kim YH, Jeon SC. Retroperitoneal Bronchogenic Cyst -A case report-. THE KOREAN JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY 2010. [DOI: 10.5090/kjtcs.2010.43.2.221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Kyung-Wook Shin
- Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital, College of Medicine, Hanyang University
| | - Jeong-Ho Kang
- Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital, College of Medicine, Hanyang University
| | - Won-Sang Chung
- Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital, College of Medicine, Hanyang University
| | - Hyuck Kim
- Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital, College of Medicine, Hanyang University
| | - Young-Hak Kim
- Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital, College of Medicine, Hanyang University
| | - Seok-Chol Jeon
- Department of Diagnostic Radiology, Hanyang University Hospital, College of Medicine, Hanyang University
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14
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Sato M, Irisawa A, Bhutani MS, Schnadig V, Takagi T, Shibukawa G, Wakatsuki T, Imamura H, Takahashi Y, Sato A, Hikichi T, Obara K, Hashimoto Y, Watanabe K, Ohira H. Gastric bronchogenic cyst diagnosed by endosonographically guided fine needle aspiration biopsy. JOURNAL OF CLINICAL ULTRASOUND : JCU 2008; 36:237-239. [PMID: 18027836 DOI: 10.1002/jcu.20425] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
We report a case of a gastric bronchogenic cyst diagnosed via endosonographically guided fine-needle aspiration (EUS-FNA) biopsy. A 60-year-old woman was referred to our hospital for an endoscopic ultrasound (EUS) examination because of a gastric subepithelial lesion detected by upper gastrointestinal endoscopy. EUS examination revealed a lesion that appeared to originate from the gastric submucosa but seemed to extend beyond the gastric wall. The latter finding raised concerns that the lesion might represent a cystic neoplasm rather than a simple cyst. Subsequently, EUS-FNA was performed to establish a definitive diagnosis and to guide further management. Cytologic evaluation of aspirated material revealed the presence of benign-appearing ciliated columnar epithelial cells within a mucinous background. Based on imaging and EUS-FNA findings, a diagnosis of gastric bronchogenic cyst was made and surgical resection was avoided.
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Affiliation(s)
- Masaki Sato
- Department of Internal Medicine 2, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima City, 960-1295, Japan
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15
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Rose SH, Elliott BA, Brown MJ, Long TR, Wass CT. Perioperative Risk Associated With an Unrecognized Bronchogenic Cyst: Clinical Significance and Anesthetic Management. J Cardiothorac Vasc Anesth 2007; 21:720-2. [PMID: 17905283 DOI: 10.1053/j.jvca.2006.07.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2006] [Indexed: 11/11/2022]
Affiliation(s)
- Steven H Rose
- Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
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16
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Kim EY, Lee WJ, Jang KT. Retroperitoneal bronchogenic cyst mimicking a pancreatic cystic tumour. Clin Radiol 2007; 62:491-4. [PMID: 17398276 DOI: 10.1016/j.crad.2006.10.012] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2006] [Revised: 10/11/2006] [Accepted: 10/23/2006] [Indexed: 12/26/2022]
Affiliation(s)
- E Y Kim
- Department of Radiology and Centre of Imaging Science, Samsung Medical Centre, Sungkyunkwan University School of Medicine, Gangnam-Gu, Seoul, Republic of Korea
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17
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Sauvat F, Fusaro F, Jaubert F, Galifer B, Revillon Y. Paraesophageal bronchogenic cyst: first case reports in pediatric. Pediatr Surg Int 2006; 22:849-51. [PMID: 16896814 DOI: 10.1007/s00383-006-1738-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/10/2006] [Indexed: 12/17/2022]
Abstract
We described for the first time a paraesophageal intra-abdominal bronchogenic cyst, first considered as hepatic tumor, in a young boy. Resection was successfully realized by laparoscopy. Abdominal bronchogenic cyst and differential diagnosis are discussed.
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Affiliation(s)
- Frédérique Sauvat
- Department of Pediatric Surgery, Hospital Necker Enfants-Malades, 149 rue de Sèvres, 75015 Paris, France.
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18
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Jo WM, Shin JS, Lee IS. Supradiaphragmatic bronchogenic cyst extending into the retroperitoneum. Ann Thorac Surg 2006; 81:369-70. [PMID: 16368412 DOI: 10.1016/j.athoracsur.2004.08.033] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2004] [Revised: 08/07/2004] [Accepted: 08/13/2004] [Indexed: 10/25/2022]
Abstract
We experienced a case of bronchogenic cyst located on the left lower pleural space extending into the retroperitoneum in a 33-year-old man with left chest pain. Preoperative imaging studies and operative findings showed a broad-based cystic mass on the left lower posterior pleura and diaphragmatic pleura extending into the retroperitoneal region across the diaphragm. Histologic studies proved this mass to be a bronchogenic cyst.
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Affiliation(s)
- Won-Min Jo
- Department of Thoracic and Cardiovascular Surgery, Ansan Hospital, Korea University, South Korea
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Colović R, Micev M, Radak V, Grubor N, Stojković M, Colović N. [Bronchogenic cyst of the abdomen]. SRP ARK CELOK LEK 2006; 133:280-2. [PMID: 16392288 DOI: 10.2298/sarh0506280c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
A bronchogenic cyst is a rare congenital anomaly that appears in the thorax, usually the lungs or the mediastinum, being much rarer in the retrosternal space, within the pericardium or the diaphragm, as well as in the neck, while localisation within the abdomen is extremely rare, with only about 30 reported cases. We present the case of a 68-year-old woman. During an investigation for an epigastric pain, a cystic lesion in the area of the body and tail of the pancreas was found. During open surgery, a cystic lesion, spanning 95 x 75 x 70 mm, above the body and tail of the pancreas was excised. The wall of the cyst was 8-12mm thick; it contained viscous fluid, the culture of which stayed sterile. Histology determined that it was a bronchogenic cyst. After an early uneventful recovery, the patient developed a left colonic fistula, which healed spontaneously within 3 weeks, probably because of the unnoticed operative damage to the splenic flexure of the colon during splenectomy, which was adherent to the cystic mass and impossible to save during excision. Six months after surgery, the patient continued to remain symptom free.
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Affiliation(s)
- Radoje Colović
- Institute for Digestive System Disorders, Clinical Centre of Serbia, Belgrade
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Melo N, Pitman MB, Rattner DW. Bronchogenic cyst of the gastric fundus presenting as a gastrointestinal stromal tumor. J Laparoendosc Adv Surg Tech A 2005; 15:163-5. [PMID: 15898909 DOI: 10.1089/lap.2005.15.163] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Gastrointestinal stromal tumors (GIST) of the stomach are being recognized with increasing frequency. The diagnosis is usually made on the basis of appearance on computed tomography (CT) and excision is recommended for GIST larger than 5 cm. We report a 39-year-old woman referred for resection of a presumed GIST of the gastric fundus diagnosed by CT scan and upper gastrointestinal (UGI) series. A laparoscopic resection was performed, but upon pathologic examination the mass proved to be a bronchogenic duplication cyst of the stomach. Bronchogenic and esophageal duplication cysts usually arise in the chest or mediastinum. On rare occasions bronchogenic cysts may lose their connection to the tracheobronchial tree and migrate to a subcutaneous position in the neck or descend into the retroperitoneum. The importance of this case is that it demonstrates a rare yet essential component to the differential diagnosis of lesions of the stomach.
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Affiliation(s)
- Nicolas Melo
- Harvard Medical School, The Massachusetts General Hospital, Boston, Massachusetts 02114, USA
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Beall DP, Daley ND, Liu CZ, Fish JR. Paravertebral Bronchogenic Cyst Diagnosed by Computed Tomography-Guided Biopsy. Curr Probl Diagn Radiol 2005; 34:163-6. [PMID: 16012487 DOI: 10.1067/j.cpradiol.2005.04.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Bronchogenic cysts are lesions that are an anomaly of congenital development. Although most are found in the mediastinum, bronchogenic cysts can be found in many different anatomical positions in the body and can have multiple presentations. These lesions can be asymptomatic and found incidentally, or they can present with specific symptoms. Bronchogenic cysts can be diagnosed on multiple radiographic modalities including conventional radiography, computed tomography, and magnetic resonance imaging. Most are treated conservatively but the possibility of infection or malignant transformation has caused some clinicians to recommend invasive treatment for these lesions. This article presents a case report of the diagnosis and management of a paravertebral bronchogenic cyst in a 64-year-old female.
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Affiliation(s)
- Douglas P Beall
- Department of Radiological Sciences, Oklahomas University Health Sciences Center, Oklahoma City, 73104, USA
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Chatti K, Bedioui H, Saïd W, Chelbi M, Saies O, Bouzani A, Abdallah NB, Zidi B. [Diaphragmatic bronchogenic cyst: a rare case report]. ANNALES DE CHIRURGIE 2003; 128:388-90. [PMID: 12943836 DOI: 10.1016/s0003-3944(03)00117-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Retroperitoneal bronchogenic cysts are rare and those located in the diaphragm are exceptional. We describe an additional case of bronchogenic cyst of the left crus of diaphragm. Diagnosis of a diaphragmatic lesion was confirmed during laparotomy and complete resection was successful. Final diagnosis was done on pathology.
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Affiliation(s)
- K Chatti
- Service d'imagerie médicale, hôpital militaire de Tunis, Tunisie.
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