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

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.

2021 ◽  
Vol 15 ◽  
pp. 117955652110216
Author(s):  
Parisa Oviedo ◽  
Morgan Bliss

Objective: Masses of the sternoclavicular area are rare, and are not well described in the literature. We aim to present a series of patients with masses in this location and to review all reported English language cases of sternoclavicular masses in pediatric patients. Methods: This is a case series of pediatric patients with masses of the sternoclavicular area presenting to a tertiary care pediatric hospital from 2010 through 2017. Data was collected by using ICD-9 and ICD-10 codes to query the electronic medical record. Chart review included age at presentation, mass characteristics, medical and surgical interventions, and pathology results. A review of the literature was then performed. Results: Ten patients with masses overlying the sternoclavicular area were identified. Four patients presented with abscess and were treated with incision and drainage. Three of these patients were then treated with staged excision once infection cleared. Two additional patients were treated with primary excision. Four patients were treated with observation. The most common histopathologic finding was epidermoid. One patient was found to have a dermoid cyst, and 1 had a congenital cartilaginous rest. Conclusion: Epidermoids and dermoids are the most common masses overlying the sternoclavicular area. Controversy remains regarding the embryologic origin of sternoclavicular masses. The differential for masses in this area also includes branchial remnants, bronchogenic cysts, ganglion cysts, or septic arthritis.


2016 ◽  
Vol 29 (6) ◽  
pp. 450-454 ◽  
Author(s):  
Michele Cavaliere ◽  
Mariano Cimmino ◽  
Stefania Sicignano ◽  
Felice Rega ◽  
Nunzia Maione ◽  
...  

Lesions of the retropharyngeal space (RPS) are uncommon, and they generally present as solitary, painless masses, which are often cystic. They usually originate from branchial arches anomalies, and only in a few cases do they turn out to be bronchogenic cysts. Generally, these lesions are diagnosed in childhood, but sometimes they can appear in adulthood. We report here a rare case of a bronchogenic cyst expanding into the RPS and causing dysphagia in an adult patient treated surgically. Since the RPS is clinically inaccessible, clinical examination was not crucial in determining the correct diagnosis, and only the additional information provided by radiological examinations led to the final diagnosis, which is essential for accurate surgical planning.


2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Stefano Benedini ◽  
Giorgia Grassi ◽  
Carmen Aresta ◽  
Antonietta Tufano ◽  
Luca Fabio Carmignani ◽  
...  

Incidentally discovered adrenal masses are very common given the increased number of imaging studies performed in recent years. We here report a clinical case of a 20-year-old woman who presented with left flank pain. Ultrasound examination revealed a contralateral adrenal mass, which was confirmed at computed tomography (CT) scan. Hormonal hypersecretion was excluded. Given the size (11 × 10 × 7 cm) and the uncertain nature of the mass, it was surgically removed and sent for pathological analyses. Conclusive diagnosis was ganglioneuroblastoma. Ganglioneuroblastoma is an uncommon malignant tumor, extremely rare in adults, particularly in females. This neoplasm is frequently localized in adrenal gland.


2019 ◽  
Vol 2019 (12) ◽  
Author(s):  
Toru Nakamura ◽  
Ryo Fujikawa ◽  
Yoshifumi Arai ◽  
Yoshiro Otsuki ◽  
Kazuhito Funai

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.


2014 ◽  
Vol 5 (4) ◽  
pp. 94-96
Author(s):  
Erhan Tenekecioglu ◽  
Mustafa Yılmaz

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


2012 ◽  
Vol 2 (4) ◽  
pp. 24-44 ◽  
Author(s):  
Aditya Simha ◽  
John B. Cullen

This article provides a comprehensive review of the literature on academic dishonesty and cheating. The different kinds of cheating behaviors and the factors associated with them are delineated and described. Suggestions are provided on how to take corrective and proactive decisions to control and thereby reduce academic dishonesty and cheating.


2016 ◽  
Vol 131 (2) ◽  
pp. 177-180 ◽  
Author(s):  
R A Crosbie ◽  
T Kunanandam

AbstractBackground:Tonsillectomy is one of the most common surgical procedures performed worldwide. There are a handful of common complications, with bleeding being the most feared; however, rarer complications can present to a wide range of medical professionals.Methods:A 12-year-old girl presented with cervicofacial emphysema following tonsillectomy. This paper discusses the case and the management adopted, and presents the findings of a comprehensive literature review.Results:The patient made a full recovery, and was discharged after 3 days following conservative management with intravenous broad-spectrum antibiotics and supplemental low-flow oxygen.Conclusion:This paper presents the first reported case of cervicofacial emphysema following Harmonic scalpel tonsillectomy. Although this is an exceptionally rare complication, it is potentially serious and warrants further description to improve awareness.


2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Zuhaib M. Mir ◽  
Ami Wang ◽  
Andrea Winthrop ◽  
Mila Kolar

Bronchogenic cysts are rare, congenital cysts originating from respiratory epithelium and typically found within the chest. Cutaneous bronchogenic cysts are exceedingly uncommon, with only 19 reported cases in the scapular region and almost exclusively occurring in male patients. Herein, we present the case of a female patient with recurrent cellulitis secondary to a bronchogenic cyst, which was diagnosed after surgical excision. We also provide a review of the literature to consolidate the current understanding of cutaneous scapular bronchogenic cysts. To our knowledge, this is the first such case reported from Canada.


Author(s):  
Addison Yee ◽  
Sriram Navuluri ◽  
Ravi Sun ◽  
Miki Lindsey ◽  
Laura Gonzalez-krellwitz ◽  
...  

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.


2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Jasleen Kaur ◽  
Philip J. McDonald ◽  
Ravinder D. Bhanot ◽  
Reda A. Awali ◽  
Sorabh Dhar ◽  
...  

Bronchogenic cysts are rare congenital malformations which arise from abnormal budding of the primitive tracheobronchial tube and can localize to either the mediastinum or lung parenchyma. They remain clinically silent in most adults unless they become infected or are large enough to compress adjacent structures. Infections involving bronchogenic cysts are often polymicrobial. Gram-positive, Gram-negative, and mycobacterial infections have been reported, though frequently a pathogen is not identified. We present the case of a 46-year-old female with known history of bronchogenic cyst who presented with suspected postobstructive pneumonia. She underwent cyst excision with culture positive for Salmonella enteritidis, an extremely rare finding on review of the literature. The patient recovered following a three-week course of antibiotics for extraintestinal salmonellosis.


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