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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,*Correspondence: Wei Liu,
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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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Nolasco-de la Rosa AL, Nuñez-Trenado LA, Román-Guzmán E, Chávez-Villicaña CE. [Neck bronchogenic cyst. Case report and review of the literature]. CIR CIR 2015; 84:235-9. [PMID: 26275467 DOI: 10.1016/j.circir.2015.06.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2014] [Accepted: 01/27/2015] [Indexed: 11/28/2022]
Abstract
BACKGROUND Bronchogenic cyst is a malformation of the ventral portion of the intestine, which is limited by bronchial epithelium and produces alterations in the development of the tracheobronchial tree. They may be single or multiple, and are usually confined to one lung or to the mediastinum, rarely to the neck, which is a subcutaneous tissue. OBJECTIVE The case of a 9 year old girl is reported, who presented with a clinical picture characterized by a slow-growing, asymptomatic tumour on the left side of the neck of 4 years onset. Chest X-ray, neck ultrasound and computed tomography of the neck and chest ruled out any other injury. A complete resection was performed, and the histopathological study confirmed the diagnosis of bronchogenic cyst. CONCLUSION The symptomatology of a bronchogenic cyst is due to the compression of the vascular, digestive or air structures, as well as its size, infection and location. The treatment of choice is a surgical resection, even when asymptomatic.
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Affiliation(s)
- Ana Lilia Nolasco-de la Rosa
- Servicio de Cirugía, Instituto Seguridad Social del Estado de México y Municipios (ISSEMyM), Centro Médico Ecatepec, Ecatepec, Estado de México, México.
| | - Luis Alberto Nuñez-Trenado
- Servicio de Cirugía, Instituto Seguridad Social del Estado de México y Municipios (ISSEMyM), Centro Médico Ecatepec, Ecatepec, Estado de México, México
| | - Edgardo Román-Guzmán
- Servicio de Cirugía, Instituto Seguridad Social del Estado de México y Municipios (ISSEMyM), Centro Médico Ecatepec, Ecatepec, Estado de México, México
| | - Christian Ezequiel Chávez-Villicaña
- Servicio de Cirugía, Instituto Seguridad Social del Estado de México y Municipios (ISSEMyM), Centro Médico Ecatepec, Ecatepec, Estado de México, México
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Ohba G, Toma M, Komori K, Hirobe S, Fukuzawa R. Intramural tracheal bronchogenic cyst: a case report. SPRINGERPLUS 2014; 3:262. [PMID: 24892006 PMCID: PMC4039665 DOI: 10.1186/2193-1801-3-262] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Accepted: 05/12/2014] [Indexed: 11/10/2022]
Abstract
Intramural bronchogenic cysts are extremely rare. We describe the case of an intramural bronchogenic cyst in a 2 year old boy who underwent tracheal resection and end-to-end anastomosis.
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Affiliation(s)
- Go Ohba
- Department of Surgery, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Miki Toma
- Department of Surgery, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Koji Komori
- Department of Surgery, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Seiichi Hirobe
- Department of Surgery, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Ryuji Fukuzawa
- Department of Pathology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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Markel TA, Lin J, Fan R, Billmire DF. Bronchogenic/foregut cyst of the ileal mesentery in a child mimicking ovarian mass. Fetal Pediatr Pathol 2013; 32:357-61. [PMID: 23438792 DOI: 10.3109/15513815.2013.768742] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Intraabdominal bronchogenic cysts, a type of foregut cyst, are very rare. We report a case in a 12-year-old female who presented with severe abdominal pain and, in radiology workup, a cystic lesion that mimicked ovarian mass.
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Affiliation(s)
- Troy A Markel
- Department of Pediatric Surgery, Indiana University School of Medicine and Riley Hospital for Children at Indiana University Health, Indianapolis, IN, USA
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A lesser sac bronchogenic cyst treated with laparoscopic reduced port surgery. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2013. [DOI: 10.1016/j.epsc.2013.09.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Abstract
This is a rare case of a bronchogenic cyst found below the diaphragm within the lesser sac successfully resected by laparoscopic means. Bronchogenic cysts rarely develop in the abdomen they typically reside in the mediastinum. We present a unique case of a bronchogenic cyst within the lesser sac. Endoscopic ultrasound proved to be a critical diagnostic tool, and the patient underwent a laparoscopic resection of the lesion.
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Kim JB, Park CK, Kum DY, Lee DH, Jung HR. Bronchogenic cyst of the right hemidiaphragm presenting with pleural effusion. THE KOREAN JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY 2012; 44:86-8. [PMID: 22263133 PMCID: PMC3249282 DOI: 10.5090/kjtcs.2011.44.1.86] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/21/2010] [Revised: 10/05/2010] [Accepted: 11/11/2010] [Indexed: 11/16/2022]
Abstract
Bronchogenic cysts are developmental foregut anomalies usually located within the mediastinum or lung parenchyma. An isolated bronchogenic cyst of the diaphragm is very rare. Our case was a 56-year-old female patient who presented with pleuritic chest pain in her right chest. Chest and abdominal computed tomography revealed a large lobulated cystic mass that was accompanied with pleural effusion in the right lower hemithorax. The tumor showed focally calcified areas in the wall and abutted against the diaphragm. We performed complete excision of the cyst including a portion of the diaphragm attached to it. The pathological diagnosis was established as the bronchogenic cyst originating from the diaphragm. We report this case with a review of the literature.
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Affiliation(s)
- Jae-Bum Kim
- Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, College of Medicine, Keimyung University, Korea
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Nadeem M, Elnazir B, Greally P. Congenital pulmonary malformation in children. SCIENTIFICA 2012; 2012:209896. [PMID: 24278678 PMCID: PMC3820530 DOI: 10.6064/2012/209896] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/03/2012] [Accepted: 05/03/2012] [Indexed: 05/10/2023]
Abstract
Congenital Pulmonary Malformations (CPMs) are a group of rare lung abnormalities affecting the airways, parenchyma, and vasculature. They represent a spectrum of abnormal development rather than discrete pathological entities. They are caused by aberrant embryological lung development which occurs at different stages of intrauterine life.
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Affiliation(s)
- Montasser Nadeem
- Paediatric Respiratory Department, The Adelaide and Meath Hospital, Dublin, Incorporating the National Children's Hospital (AMNCH), Tallaght, Dublin 24, Ireland
- *Montasser Nadeem:
| | - Basil Elnazir
- Paediatric Respiratory Department, The Adelaide and Meath Hospital, Dublin, Incorporating the National Children's Hospital (AMNCH), Tallaght, Dublin 24, Ireland
| | - Peter Greally
- Paediatric Respiratory Department, The Adelaide and Meath Hospital, Dublin, Incorporating the National Children's Hospital (AMNCH), Tallaght, Dublin 24, Ireland
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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: 1.0] [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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Elemen L, Tugay M, Tugay S, Gürcan NI, Erkus B, Gurbuz Y. Bronchogenic cyst of the right hemidiaphragm mimicking a hydatid cyst of the liver: report of the first pediatric case. Pediatr Surg Int 2008; 24:957-9. [PMID: 18563420 DOI: 10.1007/s00383-008-2187-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/05/2008] [Indexed: 12/24/2022]
Abstract
Bronchogenic cyst (BC), which develops from abnormal budding of the tracheal diverticulum or ventral foregut, is a congenital bronchopulmonary malformation. Localization of the BC varies depending on the level of the abnormal budding. Thoracic or abdominal-sited diaphragmatic lesions are the rarest presentations of the BC. We present a case of BC that originated from the diaphragm and mimicking hydatid cyst of the liver in a 19-month-old girl. Diagnosis of a diaphragmatic lesion was confirmed during laparotomy and complete resection was successful.
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Affiliation(s)
- Levent Elemen
- Department of Pediatric Surgery, Kocaeli University School of Medicine, Doktorlar Sitesi A 3/ 12 Cengelköy, Kocaeli, Istanbul, Turkey.
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