Bronchogenic cyst presenting with respiratory distress in a neonate

Diraneyya, Obayda M.; Al-Mutrafi, Amna; Jadaan, Saud Al; Eldadah, Osama; Alghamdi, Mohammed H.; Alghamdi, Abdullah A.; Alhabshan, Fahad

doi:10.1017/s104795112100072x

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Esophageal symptoms (particularly feeding problems), critical airway obstruction, and severe lower respiratory symptoms (cough, fever, dyspnea, and hypoxia) were the most common clinical presentations in the enrolled patients, in line with previously reported case reports and case series [ 2 , 3 , 4 , 7 , 8 , 11 , 12 , 13 , 14 ]. In cases 1 and 3, the patients presented with recurrent cough and choking since the second week of life, and dynamic airway compression mimicking congenital lobar emphysema (CLE).…”

Section: Discussionsupporting

confidence: 89%

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Clinical Presentation and Surgical Management of Five Pediatric Cases with Bronchogenic Cysts: Retrospective Case Series

et al. 2022

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Background: Bronchogenic cysts (BCs) refer to congenital lesions that result from primitive or abnormal foregut budding, and can be pulmonary or mediastinal. Their occurrence can take place at any point on the tracheobronchial tree, but they are usually localized in the lung parenchyma and mediastinum, and may be symptomatic or asymptomatic. Bronchogenic cyst symptoms can vary, depending on the size and location of the cyst. Methods: A retrospective review of the charts of five patients with a histopathological diagnosis of bronchogenic cysts was performed between 2014 and 2020. The patients reported in this study were diagnosed and managed at Abha Maternity and Children Hospital, Abha, southwest Saudi Arabia. In addition, demographic information, as well as diagnostic and therapeutic information, was provided for each patient, both at discharge and after discharge. All patients had confirmed congenital bronchogenic cysts with different clinical phenotypes and radiological findings. (3) Results: All patients had histopathologically confirmed bronchogenic cysts with different clinical and radiological presentations. Two patients had mediastinal-located cysts; one had a laryngeal cyst; and the last two patients had infected intrapulmonary bronchogenic cysts. All patients underwent complete excision and did not experience recurrence or other postoperative complications during the follow-up period. The latter two patients required lobectomies of the right middle and upper lobes. (4) Conclusions: Although bronchogenic cysts are considered a rare congenital pulmonary malformation, they should be considered in the differential diagnosis of pediatric patients with unusual airway and parenchymal lung manifestations, particularly, persistent stridor, feeding difficulty, and complicated pneumonia. Surgical excision of the cyst is the gold-standard therapy for symptomatic bronchogenic cysts and is highly recommended for asymptomatic ones. Long-term follow-up studies will be required to explore any long-term complications of BCs, particularly regarding the malignancy transformation.

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Section: Discussionsupporting

confidence: 89%

“…To prevent recurrence and fluid accumulation, the mucosa needs to be destroyed. Bronchogenic cysts can also be managed through close surveillance imaging in order to ensure that stability is achieved, even if it is temporary [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical Presentation and Surgical Management of Five Pediatric Cases with Bronchogenic Cysts: Retrospective Case Series

et al. 2022

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“…Most of the published cases similar to ours had normal echocardiogram findings, although 1 study described a case of a newborn with respiratory distress after birth and had abnormal echocardiogram findings. Following further investigations, a bronchogenic cyst arising from the trachea was found to be compressing the left atrium and pulmonary artery branches [ 16 ]. The differential diagnosis of bronchogenic cyst is broad and depends on the location of the cyst.…”

Section: Discussionmentioning

confidence: 99%

A 4-Month-Old Girl with Persistent Respiratory Distress and Multiple Admissions to the Pediatric Intensive Care Unit Due to a Congenital Bronchogenic Cyst

Alradhi

Al-Shamarni²,

Yousef

2021

Am J Case Rep

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Patient: Female, 4-month-old Final Diagnosis: Bronchogenic cyst Symptoms: Respiratory distress • wheezing Medication: — Clinical Procedure: — Specialty: Pediatrics and Neonatology Objective: Congenital defects/diseases Background: Bronchogenic cysts are foregut duplication cysts that result in congenital cysts of the tracheobronchial tree. They can be fatal especially, if they present in early infancy. Persistent respiratory distress is the most frequent reported presentation. Histologically, bronchogenic cysts are unilocular fluid-filled lesions that are composed of respiratory epithelium. This report presents the case of a 4-month-old girl with persistent respiratory distress and multiple admissions to the Pediatric Intensive Care Unit (PICU) due to a congenital bronchogenic cyst. Case Report: We describe a 4-month-old girl with persistent respiratory distress, intermittent chocking, and recurrent PICU admissions. The patient was managed as a case of bronchiolitis, which led to ineffective treatment numerous times. Radiological work-up revealed unusual findings of asymmetrical hyperinflation. Bronchoscopy, which was performed to clear the airway and retrieve a possible foreign body, showed a non-pulsatile mass compressing the entry of the main bronchi with more pressure on the left main bronchus, raising the possibility of an external compression. A bronchogenic cyst was suspected and confirmed with high-resolution computed tomography (HRCT). Surgical intervention was performed, with no reported complications. Conclusions: This report has shown that in neonates presenting with respiratory distress and no signs of infection, a broad differential diagnosis including congenital cysts should be considered. As in this case, lung and thoracic imaging are required to confirm the diagnosis. We also highlight the need to involve subspecialities to avoid potential delay in diagnosis or exposing patients to unexpected complications.

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