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

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.

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Surgery for Bronchogenic Cysts: Always Easy?

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492309343855 ◽

2009 ◽

Vol 17 (5) ◽

pp. 467-471 ◽

Cited By ~ 11

Author(s):

Felice Granato ◽

Luca Voltolini ◽

Claudia Ghiribelli ◽

Luca Luzzi ◽

Sara Tenconi ◽

...

Keyword(s):

Bronchogenic Cyst ◽

Thoracoscopic Surgery ◽

Main Bronchus ◽

Large Cell ◽

Anaplastic Carcinoma ◽

Resected Specimen ◽

Bronchial Wall ◽

Small Risk ◽

Bronchogenic Cysts ◽

Video Assisted Thoracoscopic Surgery

A few cases of major complications after surgery for bronchogenic cyst have been reported. The purpose of this study was to analyze the complicated and unusual cases among 30 consecutive patients with bronchogenic cysts treated surgically at our institution between 1975 and 2007. There were 3 cases of mediastinal bronchogenic cyst characterized by significant surgical complications or very unusual pathological findings. The operations were performed through a thoracotomy in 25 patients, and by video-assisted thoracoscopic surgery in 5. Two patients suffered iatrogenic injury of the contralateral main bronchus during excision of a mediastinal cyst; in one of them, late development of foreign body granuloma was related to migration towards the bronchial wall of cyanoacrylate used to reinforce suturing of the bronchial tear. Histological examination of one resected specimen showed a large-cell anaplastic carcinoma arising from the wall of a mediastinal bronchogenic cyst. Bronchogenic cysts should be excised before they become symptomatic or infected, which leads to more difficult surgery and complications. The small risk of developing malignancy within a bronchogenic cyst also justifies early intervention.

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

10.21203/rs.3.rs-86695/v1 ◽

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.

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Video-Assisted Thoracoscopic Resection of Recurrent Intrapulmonary Bronchogenic Cyst after Thoracotomy

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0000000000000057 ◽

2014 ◽

Vol 9 (2) ◽

pp. 142-144 ◽

Cited By ~ 2

Author(s):

Conor F. Hynes ◽

M. Blair Marshall

Keyword(s):

Bronchogenic Cyst ◽

Thoracoscopic Surgery ◽

Posterolateral Thoracotomy ◽

Thoracoscopic Resection ◽

Symptomatic Recurrence ◽

Video Assisted ◽

Pathologic Lesion ◽

Bronchogenic Cysts ◽

Video Assisted Thoracoscopic Surgery

Intrapulmonary bronchogenic cysts are typically treated surgically by lobectomy to completely excise the cyst to minimize risk for recurrence. Video-assisted thoracoscopic surgery is being used with increasing frequency to manage intrathoracic pathology. We present a patient who underwent resection of a bronchogenic cyst 20 years before. She developed a symptomatic recurrence, and video-assisted thoracoscopic surgery was used to lyse adhesions from her previous posterolateral thoracotomy and perform an intraparenchymal dissection to resect the pathologic lesion while sparing the remaining parenchyma of her right upper lobe. At 2 years of follow-up, the patient is without evidence of recurrence.

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Development of cavitary lung disease as a long-term complication of coronavirus disease 2019 in a young previously healthy patient: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-021-02961-9 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Goar Egoryan ◽

Elise Hyser ◽

Ammar H. Mushtaq ◽

Maria Adriana Yanez-Bello ◽

Daniela Patricia Trelles-Garcia ◽

...

Keyword(s):

Lung Disease ◽

Acute Inflammation ◽

Thoracoscopic Surgery ◽

Late Complication ◽

Left Lung ◽

Lung Lesion ◽

Pleuritic Chest Pain ◽

Case Presentation ◽

Video Assisted Thoracoscopic Surgery

Abstract Background Cavities are frequent manifestations of a wide variety of pathological processes involving the lung. There has been a growing body of evidence of coronavirus disease 2019 leading to a cavitary pulmonary disease. Case presentation A healthy 29-year-old Filipino male presented to the hospital a couple of months after convalescence from coronavirus disease 2019 with severe pleuritic chest pain, fever, chills, and shortness of breath, and was found to have a cavitary lung lesion on chest computed tomography. While conservative management alone failed to improve the patient’s condition, he ultimately underwent left lung video-assisted thoracoscopic surgery decortication. Even though the surgical pathology revealed only necrosis with dense acute inflammation and granulation tissue with no microorganisms, he gradually improved with medical therapy adjunct with surgical therapy. Conclusion Documented cases of cavitary lung disease secondary to coronavirus disease 2019 have been mostly reported in the acute or subacute phase of the infection. However, clinicians should recognize this entity as a late complication of coronavirus disease 2019, even in previously healthy individuals.

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Bronchogenic Cysts: A Case Report

Otolaryngology ◽

10.1177/019459987808600517 ◽

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.

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Prenatal Diagnosis and Postnatal Findings of Bronchogenic Cyst

Case Reports in Pulmonology ◽

10.1155/2013/483864 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 2

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.

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

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01412-2 ◽

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.

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Lung Adenocarcinoma Complicated with a Carcinoid Microtumor: A Case Report and Literature Review

10.21203/rs.3.rs-283037/v1 ◽

2021 ◽

Author(s):

Yanzhao Xu ◽

Ming he ◽

Bokang Sun ◽

Peng Su ◽

Fan Zhang ◽

...

Keyword(s):

Lung Adenocarcinoma ◽

Thoracoscopic Surgery ◽

Wedge Resection ◽

Left Lung ◽

Pulmonary Carcinoid ◽

Case Presentation ◽

Inferior Lobe ◽

Superior Lobe ◽

Missed Diagnosis

Abstract Background: Adenocarcinoma is the most common primary lung malignant tumor. However, pulmonary carcinoid tumorlets are rare neuroendocrine tumors, and the coexistence of adenocarcinoma and pulmonary carcinoid tumorlets is extremely rare. Herein, we describe a case of lung adenocarcinoma complicated with carcinoid tumorlets.Case presentation: A 71-year-old female patient was admitted to the hospital after physical examination, multiple micronodules were in the inferior lobe of the left lung and right lung for 2 years, and a tumor was in the superior lobe of the left lung for 1 month. The patient underwent resection of the superior lobe of the left lung and wedge resection of the inferior lobe of the left lung by Video-assisted Thoracoscopic Surgery(VATS). The pathology of the superior lobe of the left lung was adenocarcinoma (pathological stage pT1cN0M0, IA3 stage), and the pathology of the inferior lobe of the left lung was carcinoid tumorlets. The patient was discharged from the hospital one week after the operation and recovered well after follow-up without recurrence.Conclusions: The lack of understanding of carcinoid tumorlets in the clinic causes their misdiagnosis or missed diagnosis. At the same time, the lack of understand also suggests that we should pay attention not only to mass-type lung tumors but also to pulmonary micronodules.

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An adrenocortical oncocytoma with unusual mitochondrial inclusions and cytoplasmic crystals

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100168980 ◽

1994 ◽

Vol 52 ◽

pp. 250-251

Author(s):

W.T. Gunning ◽

G.D. Haselhuhn ◽

E.R. Phillips ◽

S.H. Selman

Keyword(s):

Adrenal Gland ◽

Salivary Glands ◽

Mitotic Activity ◽

Diagnostic Criteria ◽

Vascular Invasion ◽

Benign Neoplasm ◽

Benign Tumors ◽

Nuclear Morphology ◽

Case Presentation ◽

Microscopic Evidence

Within the last few years, adrenal cortical tumors with features concordant with the diagnostic criteria attributed to oncocytomas have been reported. To date, only nine reported cases exist in the literature. This report is the tenth case presentation of a presumptively benign neoplasm of the adrenal gland with a rare differentiation. Oncocytomas are well recognized benign tumors of the thyroid, parathyroid, and salivary glands and of the kidney. Other organs also give rise to these types of tumors, however with less frequency than the former sites. The characteristics generally used to classify a tumor as an oncocytoma include the following criteria: the tumor is 1) usually a solitary circumscribed mass with no gross nor microscopic evidence of metastasis (no tissue nor vascular invasion), 2) fairly bland in terms of mitotic activity and nuclear morphology, and 3) composed of large eosinophillic cells in which the cytoplasm is packed full of mitochondria (Figure 1).

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