Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 16, 2022; 10(23): 8392-8399
Published online Aug 16, 2022. doi: 10.12998/wjcc.v10.i23.8392
Bronchogenic cysts with infection in the chest wall skin of a 64-year-old asymptomatic patient: A case report
Ben Ma, Kai-Wen Fu, Xu-Dong Xie, Yue Cheng, Sheng-Qiang Wang
Ben Ma, Kai-Wen Fu, Xu-Dong Xie, Yue Cheng, Sheng-Qiang Wang, Department of General, Chongqing University Cancer Hospital, Chongqing 400030, China
Author contributions: Ma B was the major contributor in preparing the manuscript; Ma B, Fu KW, Xie XD and Cheng Y collected the patient’s clinical data; Ma B wrote the paper; Wang SQ advised the manuscript; all authors reviewed and edited the article before submission.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ben Ma, MD, Attending Doctor, Department of General, Chongqing University Cancer Hospital, No. 181 Hanyu Road, Shapingba District, Chongqing 400030, China. benma@cqu.edu.cn
Received: March 30, 2022
Peer-review started: March 30, 2022
First decision: May 30, 2022
Revised: June 13, 2022
Accepted: July 5, 2022
Article in press: July 5, 2022
Published online: August 16, 2022
Abstract
BACKGROUND

Skin bronchogenic cysts are extremely rare congenital bronchocystic changes caused by the abnormal development of the trachea, bronchial trees or lung buds during the embryonic period. The first case of skin bronchogenic cysts was reported in 1945. Since then, this disease has attracted increasing attention, but due to the low incidence, its pathogenesis is still not clear.

CASE SUMMARY

Here, we report another case of skin bronchogenic cysts with infection in a 64-year-old female patient. The patient had no symptoms for more than 60 years until her chest wall was recently found to be swollen, and she felt pain and discomfort. At the same time, secretions were found on the surface of the swelling. Color Doppler ultrasound examination showed abnormal echoes in the soft tissue under the frontal chest wall, suggesting the presence of cysts. Cytological puncture resulted in about 2 mL of pus and showed the presence of more acute inflammatory cells. The final clinical diagnosis was skin cyst with infection, and surgery was carried out. The pathological results obtained after surgery showed that the cystic wall was covered with column-like cilia epithelial cells, and the interstitial structure was partially inundated with inflammatory cells. After a variety of examinations and clinical diagnoses, we finally confirmed that the patient was suffering from bronchogenic cyst.

CONCLUSION

This article not only describes the case of an elderly patient with rare skin bronchogenic cysts with infection but also provides a detailed and correct diagnosis and a successful treatment process, which is of great value for the diagnosis and treatment of the disease.

Keywords: Bronchogenic cyst, Chest wall infection, Dermal cyst, Benign chest wall lesion, Case report

Core Tip: Skin bronchogenic cysts are a rare disease with low incidence, which is easy to be misdiagnosed. We have reported a case of bronchogenic cysts with infection in the frontal chest wall of a 64-year-old patient. Pain-accompanied secretions appeared in the patient’s frontal thoracic wall. Combined with color Doppler ultrasound examinations and cytological puncture examinations, we suggest that skin cysts with infections had been present before surgery. The diagnosis of skin bronchogenic cysts was confirmed by the final pathological results obtained after resection. We emphasize that the diagnosis of skin bronchogenic cysts needs to be corroborated by a variety of methods. The detailed diagnostic process and successful treatment of the case reported here are highly valuable for the treatment of bronchogenic cysts with infection.