scholarly journals Palliative fenestration for a symptomatic subcarinal bronchogenic cyst by the prone position approach

2019 ◽  
Vol 2019 (12) ◽  
Author(s):  
Toru Nakamura ◽  
Ryo Fujikawa ◽  
Yoshifumi Arai ◽  
Yoshiro Otsuki ◽  
Kazuhito Funai
Keyword(s):  
Prone Position ◽  
Cyst Wall ◽  
Bronchogenic Cyst ◽  
Clinical Symptoms ◽  
Cystic Mass ◽  
Surgical Morbidity ◽  
Complete Excision ◽  
Feasible Option ◽  
Upper Abdominal ◽  
Bronchogenic Cysts

Abstract A complete excision is the most reliable therapy for bronchogenic cysts (BC) but is often accompanied by technical difficulties due to severe adhesions. An 83-year-old-woman with poorly controlled diabetes noted worsening upper abdominal pain after meals and paroxysmal atrial fibrillation. Magnetic resonance imaging revealed a cystic mass in the subcarinal region, and she underwent a thoracoscopic prone position surgery. The cyst wall was found to have strictly adhered to the adjacent organs, and the lesion was not amenable to a complete excision. We performed a fenestration of the cyst wall with the aspiration of an yellowish mucus content. After opening the cavity wide enough, the remnant luminal epithelium was ablated by electrocautery. Her clinical symptoms disappeared immediately after the surgery without any surgical morbidity. A prone-position thoracoscopic palliative fenestration is a feasible option for a symptomatic subcarinal BC.

Subdiaphragmatic Bronchogenic Cysts: A Comprehensive Review of the Literature

2005 ◽  
Vol 71 (12) ◽  
pp. 1034-1041 ◽  
Author(s):  
Mike K. Liang ◽  
Herman T. Yee ◽  
Jae W. Song ◽  
Jenifer L. Marks
Keyword(s):  
English Language ◽  
Bronchogenic Cyst ◽  
Cystic Mass ◽  
Review Of The Literature ◽  
Comprehensive Review ◽  
Left Flank ◽  
Comprehensive Literature Review ◽  
Bronchogenic Cysts ◽  
Columnar Cells ◽  
Left Flank Pain

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.

Bronchogenic Cyst Associated with an Ostium Secundum Atrial Septal Defect in a One and Half Month Infant: Is it the Youngest Patient Yet

2021 ◽  
Author(s):  
Bhende Vishal V ◽  
Majmudar Hardil P ◽  
Amit Kumar ◽  
Pathan Sohilkhan R ◽  
Patel Shradha H
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Bronchogenic Cyst ◽  
Male Infant ◽  
Cystic Mass ◽  
Secundum Atrial Septal Defect ◽  
Complete Excision ◽  
Regular Treatment ◽  
Posterior Mediastinal ◽  
Enhanced Computed Tomography

ABSTRACT We report an extremely rare case of a Bronchogenic Cyst incidentally identified via contrast enhanced computed tomography in a one and half-month-old male infant, a known case of Ostium Secundum Atrial Septal Defect and mild pulmonary hypertension. The patient was evaluated in detail and cystic mass resembling a Bronchogenic Cyst was found over lower paratracheal mediastinal space. The patient was planned for excision of the posterior mediastinal lesion using a right limited postero-lateral thoracotomy incision and complete excision was done and the mass was pathologically confirmed to be a Bronchogenic Cyst. This case is one of the few rare cases of infants with acyanotic congenital heart defectd that were incidentally found to have a Bronchogenic Cyst. This case to our knowledge is one of the youngest patient yet and also highlights the importance of identifying rare causes like these amongst differentials of cough and wheeze responding poorly to regular treatment.

scholarly journals Retroperitoneal bronchogenic cyst resembling an adrenal tumor: two case reports and literature review

2020 ◽  
Vol 48 (5) ◽  
pp. 030006052092567
Author(s):  
Yang Wen ◽  
Wanyuan Chen ◽  
Junfa Chen ◽  
Xiaodong He
Keyword(s):  
Bronchogenic Cyst ◽  
Clinical Symptoms ◽  
Imaging Techniques ◽  
Case Reports ◽  
Imaging Features ◽  
Computed Tomography Imaging ◽  
Accurate Preoperative Diagnosis ◽  
Retroperitoneal Bronchogenic Cyst ◽  
Routine Physical Examination ◽  
Bronchogenic Cysts

Bronchogenic cysts are primitive, foregut-derived developmental anomalies with bronchial-type, pseudostratified cylindrical epithelium. They are usually discovered in the thorax. The occurrence of such cysts in the retroperitoneum is extremely rare. Imaging techniques are generally effective in the detection of retroperitoneal bronchogenic cyst. Here, we report two cases (a 27-year-old man and a 33-year-old man) who had no clinical symptoms and were found by chance to have masses in the adrenal gland area during routine physical examination. We found that they had some similar computed tomography imaging features, including complete adrenal structure, cystic fusiform mass in adrenal region, and inclusion of calcifications in the lesions. However, accurate preoperative diagnosis remains difficult and only histology can provide a definitive diagnosis. Surgery remains the treatment of choice.

Aneurysmal Bone Cyst of the Atlas: Successful Treatment through Selective Arterial Embolization: Case Report

Neurosurgery ◽  
2004 ◽  
Vol 55 (4) ◽  
pp. E1001-E1005 ◽  
Author(s):  
A Alex Mohit ◽  
Joseph Eskridge ◽  
Richard Ellenbogen ◽  
Christopher I. Shaffrey
Keyword(s):  
Successful Treatment ◽  
Bone Cyst ◽  
Arterial Embolization ◽  
Craniovertebral Junction ◽  
Cystic Mass ◽  
High Morbidity ◽  
Surgical Morbidity ◽  
Complete Excision ◽  
Selective Arterial Embolization ◽  
Aneurysmal Bone Cysts

Abstract OBJECTIVE AND IMPORTANCE: Aneurysmal bone cysts (ABCs) are benign and expansile osteolytic lesions that can occur in any location in the spine, including the craniovertebral junction. Aggressive resection followed by bone grafting has been the mainstay of treatment, with selective arterial embolization as a presurgical adjunct. Complete excision of these lesions at the craniovertebral junction is associated with high surgical morbidity. We report a case of successful treatment of an ABC of the atlas in a child with selective arterial embolization alone. CLINICAL PRESENTATION: A 10-year-old girl presented with persistent neck pain after a snowboarding accident. Computed tomography and magnetic resonance imaging of the cervical spine revealed an expansile cystic mass involving the right lateral mass of C1. Digital subtraction angiography revealed a tumor blush, which, along with the cystic appearance of the lesion, was consistent with an ABC. INTERVENTION: The arterial feeders to the lesion were selectively embolized with polyvinyl alcohol particles. Three sessions of embolization were required to eradicate the blood supply to the lesion completely. CONCLUSION: Complete surgical resection of ABCs at the craniovertebral junction can be associated with high morbidity secondary to the highly vascular and destructive nature of these lesions. The case discussed here demonstrates the viability of selective arterial embolization as a primary and stand-alone modality of treatment.

scholarly journals A bronchogenic cyst with atrial flutter

2014 ◽  
Vol 5 (4) ◽  
pp. 94-96
Author(s):  
Erhan Tenekecioglu ◽  
Mustafa Yılmaz
Keyword(s):  
Early Childhood ◽  
Bronchogenic Cyst ◽  
Tracheobronchial Tree ◽  
Cystic Mass ◽  
Surgical Removal ◽  
Pulmonary Parenchyma ◽  
Infancy And Early Childhood ◽  
The Right ◽  
Enhanced Computed Tomography ◽  
Bronchogenic Cysts

The majority of bronchogenic cysts occur in the mediastinum and especially within the pulmonary parenchyma. Bronchogenic cysts have various clinical and radiological manifestations. In adults, these are often asymptomatic and most of them are only incidentally recognized in imaging procedures. In infancy and early childhood, compression of the tracheobronchial tree leads to symptoms and occasionaly life-threatening complications. Bronchogenic cysts have been stated rarely among the causes of an arythmia in early childhood. We reported a 7-years old female presented with paroxysmal palpitation continuing for one month. Contrast enhanced computed tomography showed cystic mass in the right hemi-thorax, compressing the right atrium. After surgical removal histopathologic examination revealed a lining of respiratory epithelium associated with a wall containing smooth muscle, a finding that is characteristic of bronchogenic cyst. DOI: http://dx.doi.org/10.3126/ajms.v5i4.9695 Asian Journal of Medical Sciences 2014 Vol.5(4); 94-96

scholarly journals Bronchogenic cyst of the posterior neck mimicking lymphatic malformation

2021 ◽  
Author(s):  
Addison Yee ◽  
Sriram Navuluri ◽  
Ravi Sun ◽  
Miki Lindsey ◽  
Laura Gonzalez-krellwitz ◽  
...  
Keyword(s):  
Head And Neck ◽  
Bronchogenic Cyst ◽  
Neck Region ◽  
Cystic Mass ◽  
Lymphatic Malformation ◽  
Head And Neck Region ◽  
Posterior Neck ◽  
Bronchogenic Cysts

Bronchogenic Cysts are embryologic malformations of the foregut and are rarely found head and neck region. Here we present a case of an upper scapular/lower posterior neck cystic mass which was initially suspicious for lymphatic malformation but confirmed by pathology to be a ectopic bronchogenic cyst.

DOZ047.123: Choose typology: oral communication multiple congenital bronchogenic cysts and thyroglossal duct remnant, case report

2019 ◽  
Vol 32 (Supplement_1) ◽  
Author(s):  
H Attya ◽  
S L Gupta
Keyword(s):  
Cyst Wall ◽  
Congenital Anomalies ◽  
Cystic Lesion ◽  
Bronchogenic Cyst ◽  
Oral Communication ◽  
Normal Vaginal Delivery ◽  
Cystic Lesions ◽  
Thyroglossal Duct ◽  
Thyroglossal Duct Remnant ◽  
Bronchogenic Cysts

Abstract Background Thyroglossal duct remnants, most frequently presenting as cysts, are the most common congenital anomalies of the neck. Bronchogenic cysts are rare congenital anomalies of the primitive foregut and are a subtype of foregut supplication cysts. Those cysts are the most common cystic lesions of the mediastinum. They can present in other areas such as the neck. Such cystic lesions are usually seen in pediatric population and symptomology depends on the location, size and degree of compression to the surrounding structures. The synchronous presence of both lesions in one patient is rare. To the best of our knowledge, such presentation has not been reported in the literature. We present a case of multiple lesions in the neck and mediastinum including precricoid, paraglotttic and paratracheal regions. Case Presentation A full-term male newborn presented in day 1 post normal vaginal delivery with progressive stridor and decreased feeding. Urgent airway endoscopy revealed a left supraglottic cyst and proximal non pulsatile tracheal wall compression by another cystic lesion. Aspiration of the supraglottic cyst was done and one month later, he developed stridor again for which he had endoscopic marsupialization of right supraglottic cyst and internal aspiration of paratracheal cyst. MRI showed right paratracheal cystic lesion with evidence of a tubular tract and an infected cyst inferiorly. Decision was made to explore the neck for definite removal of the cysts. Three lesions were identified: a precricoid mass, and paraglottic and paratracheal cysts. Cervical lesions were carefully dissected and excised. For the paratracheal cyst which extended to the mediastinum, incision and drainage was done and part of cyst wall was excised, and a drain inserted into the cyst. Histopathology confirmed the precrcoid lesion to be a thyroglossal duct remnant, the paraglottic cyst in keeping with bronchogenic cyst and the paratracheal cyst wall showed granulation tissue. Discussion The fact that the embryological basis for development of thyroglossal duct cyst and bronchogenic cyst is different makes diagnosis of both lesions is challenging and such presentation is unique. Definite diagnosis depends on accurate history, imaging particularly MRI and histopathology. Surgery is the treatment of choice for symptomatic cases.

scholarly journals Congenital cervical bronchogenic cyst: A case report

2015 ◽  
Vol 143 (5-6) ◽  
pp. 317-321 ◽  
Author(s):  
Aleksandar Kiralj ◽  
Nada Vuckovic ◽  
Ivana Mijatov
Keyword(s):  
Bronchogenic Cyst ◽  
Respiratory Infections ◽  
Histopathological Examination ◽  
Subcutaneous Tissue ◽  
Pediatric Population ◽  
Surgical Excision ◽  
Clinical Findings ◽  
Cervical Lesions ◽  
Complete Excision ◽  
Bronchogenic Cysts

Introduction. Bronchogenic cysts are rare congenital anomalies of the embryonic foregut. They are caused by abnormal budding of diverticulum of the embryonic foregut between the 26th and 40th day of gestation. Bronchogenic cysts can appear in the mediastinum and pulmonary parenchyma, or at ectopic sites (neck, subcutaneous tissue or abdomen). So far, 70 cases of cervical localization of bronchogenic cysts have been reported. Majority of bronchogenic cysts have been diagnosed in the pediatric population. Bronchogenic cysts of the cervical area are generally asymptomatic and symptoms may occur if cysts become large or in case of infection of the cyst. The diagnosis is made based on clinical findings, radiological examination, but histopathologic findings are essential for establishing the final diagnosis. Treatment of cervical bronchogenic cyst involves surgical excision. Case Outline. Authors present a case of a 6-year-old female patient sent by a pediatrician to a maxillofacial surgeon due to asymptomatic lump on the left side of the neck. The patient had frequent respiratory infections and respiratory obstructions. Magnetic resonance imaging (MRI) of the neck was performed and a well-circumscribed cystic formation on the left side of the neck was observed, with paratracheal location. The complete excision of the cyst was made transcervically. Histopathological findings pointed to bronchogenic cyst. Conclusion. Cervical bronchogenic cysts are rare congenital malformations. Considering the location, clinical findings and the radiological features, these cysts resemble other cervical lesions. Surgical treatment is important because it is both therapeutic and diagnostic. Reliable diagnosis of bronchogenic cysts is based on histopathological examination.

scholarly journals Mesenteric Cysts: A Retrospective Review. Its Not All That Simple

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S117-S118
Author(s):  
M Bourgeau ◽  
V Avadhani
Keyword(s):  
Cyst Wall ◽  
Imaging Techniques ◽  
Case Reports ◽  
Lymphatic Vessels ◽  
Mucinous Cystadenoma ◽  
Final Diagnosis ◽  
Cystic Mass ◽  
Pathological Examination ◽  
Urachal Cyst ◽  
Mesenteric Cysts

Abstract Introduction/Objective Mesenteric cysts are rare intra-abdominal lesions in adults. However, with the advanced imaging techniques and laparoscopic techniques, they are more often being identified and resected when clinically significant. There is a lack of detailed information in histopathology (except as case reports) since mesentery is generally neglected in our organ-based textbooks. The aim of our study is to highlight the importance of identifying and classifying mesenteric cystic lesions; they are not all that simple. Methods We performed a retrospective search on all mesenteric cysts submitted as excisions in our electronic database from 2013-2019. We classified them as per the de Perrot (PMID: 11053936) classification with modification. Results Our search showed: A. Lymphatic origin-11 (lymphangioma-10, Lymphangioma hamartomatous-1, associated with LAM-0), B. Mesothelial origin-68 (Benign mesothelial cysts-57, multilocular mesothelial cyst-11), C. Enteric origin- 3, D. Urogenital origin (Urachal cyst, mullerian inclusion cyst)-9, E. Mature cystic teratom-2, F. Pseudocyst-12, G. Epithelial cyst (not urogenital)- 11 (a/w LAMN-3, MCN-4, Mucinous cystadenoma-4), H. Associated with carcinoma-2. Case illustration: A 61-year-old male presented with worsening dysphagia, emesis and hiccups. A CT scan showed a 21.2 cm cystic mass with at least one septation (Fig 1). The cyst was resected. On gross pathological examination, the cyst measured 18 cm in greatest dimension with a thick, rough, tan-brown capsule. Microscopic examination showed a fibrous capsule, and cyst wall composed of numerous lymphatic vessels (CD31 positive) and prominent smooth muscle proliferation (Desmin positive). Scattered lymphoid aggregates were also present throughout the cyst wall. No definite epithelial lining was identified and was suspected to have been denuded. HMB-45 immunostain was negative, ruling out association with LAM. The final diagnosis of a Lymphangiomyoma, hamartomatous was rendered. Conclusion Though most of the mesenteric cysts are benign, some of them are significantly important such as Lymphangiomyoma (esp secondary to LAM), MCN, those associated with LAMN etc. and identifying and differentiating from their mimics has distinct clinical implications.

scholarly journals Solid Pseudopapillary Neoplasm (SPN) of the Pancreas: A 7-year Study in A Tertiary Level Teaching Hospital in Bangladesh

2021 ◽  
Vol 9 (2) ◽  
pp. 34-38
Author(s):  
Mehdi Ashik Chowdhury ◽  
- Asaduzzaman
Keyword(s):  
Clinical Symptoms ◽  
Tumour Size ◽  
Abdominal Mass ◽  
Cross Sectional Study ◽  
Cystic Mass ◽  
Preoperative Imaging ◽  
Cystic Degeneration ◽  
Solid Pseudopapillary Neoplasm ◽  
Rare Tumour ◽  
Cross Sectional

Solid pseudopapillary neoplasm (SPN) of the pancreas, also referred to as Frantz's tumour, is a rare tumour and represents 1-3% of all pancreatic tumours, which typically affects young women without significant clinical symptoms. This cross-sectional study was done in the Department of Pathology, Bangabandhu Sheikh Mujib Medical Un iversity (BSMMU) between January 2009 and December 2015. A total of nineteen cases of solid pseudopapillary neoplasm (SPN) of pancreas were detected in patients and included in this study. In all the patients the diagnosis was confirmed by histopathology after the surgery. Tumours were nodular, cystic or solid-cystic, often encapsulated. Some of them were received as irregular fragmented pieces, as intact removal was not possible. Cut surfaces were partly grey-white and partly tan-brown with cystic degeneration. Areas of necrosis and hemorrhage were present in all the specimens.The age range was of 14-45 years (mean age 26.9±3.7 years) (Table-I). Among the tumours, 18 were found in female patients, while only 1 was from male patient. In all the cases, preoperative imaging contributed to diagnosis of an abdominal mass in the patients. 11 of these were reported as pancreatic mass, while 3 as pancreatic cystic mass, 2 as retroperitoneal mass, 2 as mesenteric mass and only 1 as adrenal mass. Tumour-size ranged from 6 to 19 cm (mean size 9.3±1.5 cm). 7 tumours were solid and cystic in nature, while 8 were solid and 4 were only cystic. Complete capsule was found in 17 specimens. Calcifications were found in only 5 specimens. Surgical resection was found generally curative. In our study, absence of metastasis suggests that these tumours hardly show aggressive clinical behaviour. However, follow-up is important to observe potential local recurrence and metastasis. CBMJ 2020 July: Vol. 09 No. 02 P: 34-38

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