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.

Multiple cervical bronchogenic cysts

2006 ◽  
Vol 120 (2) ◽  
pp. 145-147 ◽  
Author(s):  
Kyaw Htin Maung ◽  
Christopher Low ◽  
Lindsey C Knight ◽  
Catherine J Cullinane
Keyword(s):  
Lung Parenchyma ◽  
Tracheobronchial Tree ◽  
Respiratory Obstruction ◽  
Congenital Lesions ◽  
Upper Respiratory ◽  
Hoarse Voice ◽  
Bronchogenic Cysts

Bronchogenic cysts are rare, benign, congenital lesions that occur as a result of aberrant development of the tracheobronchial tree during embryogenesis. They usually present during the first decade of life and are encountered predominantly within the mediastinum or the lung parenchyma. In a few instances, they appear within the neck mimicking a neoplasm and, depending on their size and site, may also cause acute upper respiratory obstruction. We describe a case of two cervical bronchogenic cysts adjacent to the larynx in a child who presented with a hoarse voice.

scholarly journals Giant Intrapericardial Bronchogenic Cyst Associated with Congestive Heart Failure and Atrial Fibrillation:  A Case Report

2020 ◽  
Author(s):  
Javier Maldonado ◽  
German Molina ◽  
Francisco M- Rincón T ◽  
Lina M. Acosta Buitrago ◽  
Carlos J- Perez Rivera
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Congestive Heart Failure ◽  
Differential Diagnosis ◽  
Case Report ◽  
Bronchogenic Cyst ◽  
De Novo ◽  
Pathological Findings ◽  
Case Presentation ◽  
Bronchogenic Cysts

Abstract Background: Large intracardiac bronchogenic cysts are rare mediastinal masses, however they must always be considered in the differential diagnosis of heart failure. Case Presentation: We present a 60-year-old female patient with de novo atrial fibrillation and heart failure, resulting from an incidental large intrapericardial mass. The patient underwent successful surgical resection, with pathological findings confirming a bronchogenic cyst.Conclusions: Large bronchogenic cysts located intrapericardially are very rare, however they should be included in the differential diagnosis of patients presenting with atrial fibrillation and heart failure.

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 Giant Intrapericardial bronchogenic cyst associated with congestive heart failure and atrial fibrillation: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Javier Maldonado Escalante ◽  
German Molina ◽  
Francisco Mauricio Rincón ◽  
Lina M. Acosta Buitrago ◽  
Carlos J. Perez Rivera
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Differential Diagnosis ◽  
Bronchogenic Cyst ◽  
De Novo ◽  
Case Presentation ◽  
X Ray ◽  
Abnormal Chest ◽  
Chest X Ray ◽  
Bronchogenic Cysts

Abstract Background Large intracardiac bronchogenic cysts are rare mediastinal masses. However, they must always be considered in the differential diagnosis of heart failure with abnormal chest X-ray. Case presentation We present a 60-year-old female patient with de novo atrial fibrillation, heart failure and a very large intrapericardial mass. The patient underwent successful surgical resection, with pathological findings confirming a bronchogenic cyst. Conclusions Large bronchogenic cysts located intrapericardially are very rare. However, they should be included in the differential diagnosis of patients presenting with atrial fibrillation and heart failure with abnormal radiologic studies.

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 A Rare Case of Mediastinal Bronchogenic Cyst Infected by Salmonella enteritidis

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Jasleen Kaur ◽  
Philip J. McDonald ◽  
Ravinder D. Bhanot ◽  
Reda A. Awali ◽  
Sorabh Dhar ◽  
...  
Keyword(s):  
Rare Case ◽  
Salmonella Enteritidis ◽  
Bronchogenic Cyst ◽  
Lung Parenchyma ◽  
Review Of The Literature ◽  
Cyst Excision ◽  
Adjacent Structures ◽  
History Of ◽  
Bronchogenic Cysts ◽  
Culture Positive

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.

scholarly journals ANGIOPULMONOGRAPHY WITH NITROGLYCERIN TEST IN THE DIAGNOSIS OF ACUTE INFECTIOUS LUNG DESTRUCTION

2021 ◽  
Vol 29 (4) ◽  
pp. 412-419
Author(s):  
V.I. Petukhov ◽  
◽  
V.I. Derkach ◽  
S.N. Ermashkevich ◽  
M.V. Kuntsevich ◽  
...  
Keyword(s):  
Blood Flow ◽  
Differential Diagnosis ◽  
Test Performance ◽  
Blood Circulation ◽  
Lung Parenchyma ◽  
Inflammatory Infiltration ◽  
Affected Area ◽  
Vascular Bed ◽  
Pulmonary Parenchyma ◽  
Flow Through

Objective. To develop a method for additional and differential diagnosis of acute infectious lung destruction (AILD) based on angiopulmonography with the nitroglycerin test. Methods. Angiopulmonography with the nitroglycerin test was used in 10 patients with suppurative diseasesof thelung and pleura for additional and differential diagnosis of AILD The method was used in such situations when chest computed tomography did not allow to determine unambiguously the presence and / or prevalence of necrosis of the lung parenchyma. Results. In 3 patients with the lung abscess, a clear restriction of the decay cavity was registered with the preservation of the main blood flow and weakening of the parenchymal phase of the blood circulation along the periphery of the destructive area. During the nitroglycerin test performance there was no change in the filling of the microvascular bed with contrast along the periphery of the decay cavity, which made it possible to determine the presence of parietal sequesters. According to the results of the study, the lung gangrene was diagnosed in 6 patients. At the same time, two variants of circulatory disorders were noted: the first - with preservation of the blood flow through the main vessels and with the absence of a parenchymal phase in the lesion focus, the second - with the violation of the main blood flow. In the affected area no change in blood flow was observed after the nitroglycerin test performance. Similar results of the study indicated the development of necrosis of the pulmonary parenchyma, which was subsequently confirmed during the operations performed. In the site of inflammatory infiltration of the pulmonary parenchyma with preserved main blood flow, the depletion of the parenchymal phase of blood circulation was determined, but after the nitroglycerin test, a pronounced enrichment of the vascular architecture to the parenchymal phase in the pneumonia affecting part of the lung was noted. Conclusion. It has been established that AILD is characterized by irreversible changes in the vascular bed of the lung parenchyma in the lesion focus. Angiopulmonography with the nitroglycerin test is considered to be an additional highly informative method improving the early and differential diagnosis of AILD in difficult clinical situations. What this paper adds It has been found out that during angiopulmonography the areas of pulmonary necrosis are characterized by the absence of a vascular pattern with or without disturbance of the blood flow through the segmental arteries. At the same time, in contrast to the foci of pneumonia, the nitroglycerin test is not accompanied by an evaluation of the filling of the pulmonary vascular bed in the affected area, i.e. blood supply disorders are irreversible. Thus, based on an assessment of the nature and reversibility of the blood flow disturbances in the affected lung, it is possible to carry out differential diagnosis of the early stages of acute infectious lung destruction (AILD) and pneumonia.

Role of diagnostic imaging in diagnosis by Covid-19

2020 ◽  
Author(s):  
Coda Marco ◽  
Sica Federica ◽  
Finelli Mirko ◽  
Ungaro Gaetano ◽  
Sica Alfonso Marco
Keyword(s):  
Differential Diagnosis ◽  
Lung Parenchyma ◽  
Chest Ct ◽  
Initial Assessment ◽  
X Rays ◽  
Radiological Imaging ◽  
Laboratory Examinations ◽  
Clinical Conditions

The diagnosis from Covid-19 provides the set of several examinations such as: clinical examinations, laboratory examinations, radiographic examinations. Using radiological imaging, RX and chest CT, it is possible to evaluate the impairment of lung function and thanks to this aspect it is possible to define the severity and clinical conditions of the patient. In this way, it allows timely therapeutic intervention especially if the patient shows a mild condition in such a way as to avoid the onset of further complications. Chest X-rays allow both an initial assessment of patients and the possibility to perform a differential diagnosis towards other possible causes of lung parenchyma involvement. The CT scan, which highlights the peculiar characteristics of COVID pneumonia, is performed both as diagnostic confirmation and in the patient’s follow-up.

Obstructive Lung Diseases

2016 ◽  
pp. 741-746
Author(s):  
Vivek N. Iyer
Keyword(s):  
Differential Diagnosis ◽  
Interstitial Lung Disease ◽  
General Population ◽  
Lung Disease ◽  
Pulmonary Edema ◽  
Lung Diseases ◽  
Lung Parenchyma ◽  
Obstructive Lung Diseases ◽  
Lung Malignancies

An estimated 1 in 3,000 to 1 in 4,000 persons in the general population have a diagnosis of interstitial lung disease (ILD), and ILDs account for about 15% of all consultations for general pulmonologists. These diseases encompass a group of heterogeneous lung conditions characterized by diffuse involvement of the lung parenchyma and pulmonary interstitium. By convention, infections, pulmonary edema, lung malignancies, and emphysema are excluded, but they should be carefully considered as part of the differential diagnosis.

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