Bronchogenic cysts. Importance of infection in adults. Study of 12 cases

Hernández-Solís, Alejandro; Cruz-Ortíz, Humberto; Ceballos, María Esther Gutiérrez-Díaz; Cícero-Sabido, Raúl

doi:10.1016/j.circen.2015.08.005

Cited by 5 publications

(1 citation statement)

References 12 publications

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“…However, because bronchogenic cysts can result in infection ,further complications due to compression of adjacent organs or malignant transformation, symptomatic and complicated bronchogenic cysts are usually surgically removed (3,4). Because surgical excision can be hazardous and incomplete due to dense adhesion to surrounding vital organs after severe inflammation, drainage of complicated bronchogenic acute-phase cysts using bronchoscopy, mediastinoscopy, or percutaneous CT-guided methods has been performed to decompress them and relieve inflammation (2,5). However, drainage is not considered a definitive treatment modality for complicated cysts because of recurrence or incomplete removal (6).…”

Section: Discussionmentioning

confidence: 99%

Complete thoracoscopic excision of an infected bronchogenic cyst due to mediastinitis

Kim

Choi

et al. 2017

J. Thorac. Dis.

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Because bronchogenic cysts can result in infection, further complications due to compression of adjacent organs or malignant transformation, symptomatic and complicated bronchogenic cysts are usually surgically removed. However, surgical excision can be hazardous or incomplete because of dense adhesion to surrounding vital organs as a consequence of severe inflammation. Herein, we report a rare case of infected bronchogenic cyst caused by mediastinitis and we describe how a surgical approach using video-assisted thoracoscopic surgery (VATS) should be considered for treatment, even among patients with complicated bronchogenic cysts. J Thorac Dis 2017;9(11):E979-E981 jtd.amegroups.com 6 months after surgery showed no visible recurrence of cystic lesions or complications ( Figure 2C). DiscussionBronchogenic cysts are benign congenital mediastinum masses for which the natural course are unknown (2). Because most bronchogenic cysts are thought to be asymptomatic, the best therapeutic strategies and optimal timing for surgery remain controversial (3,4). However, because bronchogenic cysts can result in infection ,further complications due to compression of adjacent organs or malignant transformation, symptomatic and complicated bronchogenic cysts are usually surgically removed (3,4). Because surgical excision can be hazardous and incomplete due to dense adhesion to surrounding vital organs after severe inflammation, drainage of complicated bronchogenic acute-phase cysts using bronchoscopy, mediastinoscopy, or percutaneous CT-guided methods has been performed to decompress them and relieve inflammation (2,5). However, drainage is not considered a definitive treatment modality for complicated cysts because of recurrence or incomplete removal (6).In our case, the patient's clinical history, symptoms, and signs suggested that he had deep neck infection and mediastinitis, which were confirmed by chest CT. Deep neck infection, mediastinitis, and the infected cysts were found after vomiting. The chronological order of events (drinking, vomiting, deep neck infection, mediastinitis, and the infected cyst) suggested that the most possible cause for the infected cyst is mediastinitis. We determined that the infected cyst was caused by acute mediastinitis due to esophageal injury, which is a rare cause of complicated bronchogenic cyst. An esophagogram was performed to investigate esophageal injury and showed no abnormalities. Therefore, we assumed that his vomiting episode J Thorac Dis 2017;9(11):E979-E981 jtd.amegroups.com induced esophageal micro-injury that was undetected by esophagogram, resulting in acute mediastinitis.Severe adhesion to vital structures can be a clinically unfavorable condition for thoracoscopic surgery. To facilitate surgical dissection of the cystic lesion from severe adhesion, intraoperative fluid drainage was performed. We believe that cautious dissection of the cystic lesion after intraoperative drainage is useful in this setting. Intraoperative cyst drainage may help in the management of the...

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Section: Discussionmentioning

confidence: 99%

Complete thoracoscopic excision of an infected bronchogenic cyst due to mediastinitis

Kim

Choi

et al. 2017

J. Thorac. Dis.

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An unusual case of cardiac tamponade: Bronchogenic cyst infection due to Salmonella bredeney

Yıldız

Reichwein

Poncelet

et al. 2019

Journal of Infection and Chemotherapy

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Unusual mode of presentation of intrathoracic bronchogenic cyst: A double location

Atoini

Ouarssani

Ouadnouni

et al. 2016

Respiratory Medicine Case Reports

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A 63 year old woman presenting chronic back pain and neuralgia had abnormal shadow on chest radiograph. She has a history of pulmonary tuberculosis treated in 1977. The chest-CT scan showed a soft tissue mass in the lower lobe of the right lung and a cystic mass in the paravertebral region. The patient had right lower lobectomy and complete excision of a paraoesophageal cyst. Both masses were bronchogenic cysts at histology. The patient had an uneventful discharge the seventh postoperative day. After 4 years and 7 months of follow-up with CT-scann, the patient was free of symptoms with no evidence of recurrent disease.

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Bronchogenic cysts. Importance of infection in adults. Study of 12 cases

Cited by 5 publications

References 12 publications

Complete thoracoscopic excision of an infected bronchogenic cyst due to mediastinitis

Complete thoracoscopic excision of an infected bronchogenic cyst due to mediastinitis

An unusual case of cardiac tamponade: Bronchogenic cyst infection due to Salmonella bredeney

Unusual mode of presentation of intrathoracic bronchogenic cyst: A double location

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