scholarly journals Prenatal Diagnosis and Postnatal Findings of Bronchogenic Cyst

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Livia Teresa Moreira Rios ◽  
Edward Araujo Júnior ◽  
Luciano Marcondes Machado Nardozza ◽  
Antonio Fernandes Moron ◽  
Marília da Glória Martins
Keyword(s):  
Prenatal Diagnosis ◽  
Respiratory Distress ◽  
Bronchogenic Cyst ◽  
Left Lung ◽  
Tertiary Hospital ◽  
Tracheobronchial Tree ◽  
Normal Lung ◽  
Left Hemithorax ◽  
Left Chest ◽  
Bronchogenic Cysts

Bronchogenic cysts arise from abnormal buds from the primitive esophagus and tracheobronchial tree, which do not extend to the site where alveolar differentiation occurs. Bronchogenic cysts are typically unilocular mucus field lesions arising from posterior membranous wall of the air way. The prenatal diagnosis usually is realized by two-dimensional ultrasound showing the large unilocular cystic image in the chest fetus. The prenatal percutaneous aspiration can reduce the risk of heart compression and permit better respiratory conditions to newborn. We present a case of a primiparous pregnant 23 year-old-woman prenatal ultrasound showed a large unilocular cyst in the left hemithorax with compression of the normal left lung tissue and contralateral mediastinal shift. This cyst was percutaneously aspirated without subsequent reaccumulation of fluid. The newborn did not have respiratory distress and the computed tomography scan confirmed the finding of a fluid-filled cyst in the left chest. The chest X-ray showed the displacement of the heart and the mediastinum from the left to the right. The prenatal diagnosis of bronchogenic cyst is very important to assess the degree of the compression of the normal lung and the mediastinum shift. Furthermore, the prenatal diagnosis permits planning delivery in the tertiary hospital with multidisciplinary team because of the risk of respiratory distress.

scholarly journals Traumatic Diaphragmatic Hernia

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Nurashidah Musa ◽  
Ruben Gregory Xavier
Keyword(s):  
Respiratory Distress ◽  
Diaphragmatic Hernia ◽  
Left Lung ◽  
Penetrating Trauma ◽  
Exploratory Laparotomy ◽  
Left Lobe ◽  
Falciform Ligament ◽  
Left Hemithorax ◽  
Traumatic Diaphragmatic Hernia ◽  
Abdominal Symptoms

Traumatic diaphragmatic hernia (TDH) is uncommon and it can be a result from both blunt and penetrating trauma. About to 1% to 7% of patients with blunt trauma sustained TDH. Left sided traumatic diaphragmatic hernia are much common compared to right side.TDH can present acutely or delayed with signs of respiratory distress of intestinal obstruction. The diagnosis was made with the aid of chest radiograph and computed topography (CT) abdomen. A coiled nasogastric tube within the hemithorax is a pathognomonic for TDH. We are presenting a case of high impact injury resulting in a TDH in a 19-year-old, malay male with unsure mechanism injury. He presented with generalised abdominal pain and in respiratory distress with a clinical evidence of abdominal tenderness and type 1 respiratory failure. Subsequently, he underwent exploratory laparotomy and repair of left diaphragmatic hernia. Intraoperatively, noted large linear tear of left hemidiaphragm posterolaterally extending medially until the insertion of falciform ligament. Stomach, left lobe of liver, spleen and splenic flexure of colon were herniated into the left hemithorax. The left diaphragmatic tear was repaired in 2 layers using prolene. A left subdiaphgramatic drain and a chest tube were inserted. Post operatively, the patient was nursed in ICU and recovered well. Repeated chest x -ray showed left lung was fully expanded. With aggressive chest physiotherapy and incentive spirometry, he recovered well and was discharged home. In trauma, there should be a high index of suspicion in patients with both respiratory and abdominal symptoms. Conclusion: Prompt recognition and early definitive management can improve patient outcomes.

Bronchogenic Cysts: A Case Report

1978 ◽  
Vol 86 (5) ◽  
pp. ORL-755-ORL-757
Author(s):  
Marshall Strome
Keyword(s):  
Respiratory Distress ◽  
Bronchogenic Cyst ◽  
Clinical Course ◽  
Barium Swallow ◽  
Case Presentation ◽  
Delayed Onset ◽  
Life Threatening ◽  
Bronchogenic Cysts ◽  
Surgical Extirpation ◽  
Routine Chest

The otolaryngologist has a reference frame for congenital stridor that rarely includes diagnosis of a bronchogenic cyst. The life-threatening potential of this lesion makes consideration and recognition imperative. Representing less than 5% of the mediastinal childhood masses in the infant, respiratory distress most often initiates diagnostic studies leading to identification and extirpation. The case presentation highlights the clinical course. The diagnostic hallmark of this case was the delayed onset of stridor with subsequent progression. Thereafter, a chest film and barium swallow suggested the diagnosis. In newborns, however, such cysts may not be evident on routine chest films and, nonetheless, cause significant respiratory distress from airway compression. Surgical extirpation should be affected as soon as possible after the diagnosis is entertained in order to insure against a sudden respiratory death.

Giant presternal subcutaneous bronchogenic cyst: a rare but possible occurrence

2020 ◽  
Vol 28 (8) ◽  
pp. 507-509
Author(s):  
Giuseppe Mangiameli ◽  
Alex Arame ◽  
Françoise Le Pimpec-Barthes
Keyword(s):  
Differential Diagnosis ◽  
Bronchogenic Cyst ◽  
Lung Parenchyma ◽  
Tracheobronchial Tree ◽  
Cystic Masses ◽  
Bronchogenic Cysts

Bronchogenic cysts are generally detected in the mediastinum, along the tracheobronchial tree, or in the lung parenchyma. Subcutaneous presternal bronchogenic cysts have been rarely described, and they are usually of small size (<3 cm) and reported in children. We report a case of giant presternal subcutaneous bronchogenic cyst in a 20-year-old man. Presternal subcutaneous bronchogenic cysts, despite their rarity, should be considered in the differential diagnosis of all subcutaneous cystic masses, independent of their size and the patient’s age.

Tracheal Bronchogenic Cyst: A New Clinical Entity?

1987 ◽  
Vol 96 (1) ◽  
pp. 58-60 ◽  
Author(s):  
Barry L. Wenig ◽  
Allan L. Abramson
Keyword(s):  
Respiratory Distress ◽  
Surgical Management ◽  
Congenital Anomalies ◽  
Bronchogenic Cyst ◽  
Preoperative Evaluation ◽  
Clinical Entity ◽  
Airway Compromise ◽  
Rare Lesion ◽  
Bronchogenic Cysts

Bronchogenic cysts arise as congenital anomalies of the primitive foregut. Although bronchogenic cysts arising from and partially occluding the trachea have been reported in adults, this entity has not as yet been documented in children. We report a case of an infant with respiratory distress resulting from an intratracheal bronchogenic cyst. In view of its ability to create airway compromise, the pathogenesis, preoperative evaluation, and surgical management of this rare lesion will be discussed.

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 Desperate times call for desperate measures

2017 ◽  
Vol 86 (1) ◽  
pp. 52-54
Author(s):  
Carlos Muzlera ◽  
Jamie Riggs
Keyword(s):  
Left Lung ◽  
Helicopter Emergency Medical Service ◽  
Trauma Centre ◽  
Cardiac Massage ◽  
Left Hemithorax ◽  
Left Chest ◽  
Major Trauma Centre ◽  
Palpable Pulse ◽  
Midclavicular Line ◽  
To Come

It is 5 pm on New Year’s Eve and you are on service as an emergency physician in training for the London Helicopter Emergency Medical Service (HEMS). The London Ambulance Service Control informs you of a stabbing incident in the town of Watford, England. Your helicopter arrives on the scene 10 minutes after the call and 13 minutes after the incident, along with land ambulance and police. After the scene is declared safe, you are directed to the patient, JJ, a 24-year-old male who has suffered a stabbing outside of a local bar. His friend, who made the call to EMS, tells you JJ lost consciousness about 3 minutes after the insult. The patient has no signs of life, with no palpable carotid pulse or measurable blood pressure. He is apneic and his pupils are fixed and dilated. You notice a 2-cm wound in the midclavicular line, just superior to the left nipple, consistent with a penetrating stab wound. Cardiac monitors are attached and show an initial rhythm of asystole. Closed cardiac massage is undertaken immediately with rescue breaths given using bag-valve-mask. Simultaneously, the patient is cannulated in both antecubital fossae and is administered 1 mg adrenaline with 1000 mL 0.9% saline. Emergent decompressive needle thoracotomy is performed on the left chest by placing a 14-gauge, 3.5-inch angiographic catheter into the chest cavity at the midclavicular line in the second interspace. There is no release of air but periodic bubbles and blood appear to come from the left lung. After 2 minutes of unsuccessful CPR, there is still no palpable pulse and you notice the patient’s neck veins are distended, with normal air entry and no dullness to percussion in the left hemithorax. Your helicopter is about 10 minutes away from the nearest major trauma centre.

scholarly journals Ectopic bronchogenic cyst arising from the diaphragm: a rare case report and literature review

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan Tang ◽  
Zhen Zeng ◽  
Senyi Deng ◽  
Feng Lin
Keyword(s):  
Bronchogenic Cyst ◽  
Thoracoscopic Surgery ◽  
Left Lung ◽  
Benign Tumors ◽  
Soft Tissue Shadow ◽  
Rare Form ◽  
Case Presentation ◽  
Pathological Result ◽  
Rare Case Report ◽  
Bronchogenic Cysts

Abstract Background Bronchogenic cysts can be caused by errors in the growth of the ventral foregut. Localization of the bronchogenic cyst (BC) varies depending on the level of the abnormal budding. They are usually located in the lungs and mediastinum. BCs of the diaphragm are a rare form of this abnormality. Case presentation A 66-year-old woman coughs and expectorates. CT scan evaluation revealed a soft tissue shadow of 6 × 5 cm in the left lung. Under thoracoscopic surgery, we found that the mass originated from the diaphragm away from the lung tissue, we completely removed the mass and the pathological result was diagnosed as BC. Conclusions The prognosis of ectopic BC is usually optimistic for benign tumors, as long as the tumor is completely removed.

Prenatal diagnosis of an obstructive mediastinal bronchogenic cyst

1995 ◽  
Vol 5 (2) ◽  
pp. 194-196
Author(s):  
Chandrakant R. Patel ◽  
Kevin L. Muise ◽  
Marc M. Levine
Keyword(s):  
Prenatal Diagnosis ◽  
Respiratory Distress ◽  
Left Atrium ◽  
Computerized Tomography ◽  
Bronchogenic Cyst ◽  
Fetal Echocardiography ◽  
Pathological Examination ◽  
Mediastinal Cyst

SummaryWe report a patient with a mediastinal cyst compressing the left atrium that was diagnosed prenatally by fetal echocardiography. Postnatally, attempted aspiration guided by computerized tomography was unsuccessful. Because of respiratory distress, the cyst was removed surgically. Pathological examination revealed a bronchogenic cyst.

Bronchogenic cyst presenting with respiratory distress in a neonate

2021 ◽  
pp. 1-3
Author(s):  
Obayda M. Diraneyya ◽  
Amna Al-Mutrafi ◽  
Saud Al Jadaan ◽  
Osama Eldadah ◽  
Mohammed H. Alghamdi ◽  
...  
Keyword(s):  
Case Report ◽  
Respiratory Distress ◽  
Bronchogenic Cyst ◽  
Surgical Excision ◽  
Well Being ◽  
Vascular Compression ◽  
Rare Presentation ◽  
Neonatal Respiratory Distress ◽  
Airway Anomalies ◽  
Bronchogenic Cysts

Abstract Bronchogenic cysts are considered rare airway anomalies that can have a significant impact on the well-being of infants. In this case report, we present a rare presentation of bronchogenic cyst presenting with early neonatal respiratory distress due to airway and vascular compression. Surgical excision was curative with an excellent prognosis.

Esophagus-Like Bronchus: A Noncommunicating Bronchopulmonary Foregut Malformation

2021 ◽  
pp. 106689692110022
Author(s):  
Jenny L. Weon ◽  
Stephen Megison ◽  
Charles F. Timmons ◽  
Dinesh Rakheja
Keyword(s):  
Left Lung ◽  
Lower Lobe ◽  
Tracheobronchial Tree ◽  
Pulmonary Infections ◽  
Bronchopulmonary Foregut Malformation ◽  
Radiologic Examination ◽  
Foregut Malformation

We describe a previously unreported bronchopulmonary foregut malformation wherein a segment of a bronchus of the lower lobe of the left lung in a 4-year-old girl was entirely esophageal in structure. No communication was identified between the tracheobronchial tree and the esophagus by radiologic examination or at surgery. The esophagus-like bronchus was associated with an adjacent atretic bronchus and a downstream cavity in the lower lobe of the left lung. The child sought clinical attention because of recurrent pulmonary infections localized to the lower lobe of the lung. We posit that this esophagus-like bronchus is a novel noncommunicating bronchopulmonary foregut malformation.

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