Ileal bronchogenic cyst: A case report and review of literature

Abstract

We herein report a rare case of ileal bronchogenic cyst that was found in a 39-year-old Chinese man. He had no symptoms and the physical examination was normal. Tumor markers were within the normal range. Abdominopelvic enhanced computed tomography showed a mass in the lower abdominal cavity and the tumor had a complete capsule. Diagnostic laparoscopy was then performed, which showed that a spheroid mass with a complete capsule was located at the antimesenteric border of the distal ileum 20 cm from the ileocecal valve, measuring 6.0 cm × 6.0 cm × 5.0 cm. Considering that the malignancy of the tumor cannot be ruled out, and there is a risk of rupture during laparoscopic surgery, the patient was converted to an open surgery. Partial resection of the ileum with the tumor was performed, followed by a side-to-side anastomosis. The tumor was gray-red in color, filled with grayish yellow mucus and had no septum. The postoperative pathology revealed that the cystic wall was lined by pseudostratified ciliated columnar epithelium without cellular atypia. The wall consisted of bronchial mucous glands and smooth muscle fibers, and no abnormalities were found in adjacent ileum tissues. Thus, a diagnosis of bronchogenic cyst of the ileum was made.

Bronchogenic cysts with infection in the chest wall skin of a 64-year-old asymptomatic patient: A case report

“…As bronchogenic cysts are a rare congenital disease, the pathogenesis of this disease is not yet known. Lots of medical doctors and researchers consider bronchogenic cysts to be congenital broncho saccharin changes caused by the abnormal development of trachea, bronchial trees or lung buds during the embryonic period[ 6 , 10 ]. Shah et al [ 7 ] reported a total of 86 cases of bronchogenic cysts, and about 74% of these patients were male.…”

“…The first case of skin bronchogenic cysts was reported by Seybold and Clagett[ 1 ] in 1945. Bronchogenic cysts may occur in various areas, such as the mediastinum[ 2 ], lungs[ 3 ], heart[ 4 ], stomach[ 5 ], peritoneum[ 6 ] and in other areas. The disease is more commonly diagnosed in childhood than in adulthood[ 7 ].…”

Abdominal bronchogenic cyst: A rare case report

“…However, if tissue necrosis or hemorrhage occurs, the pathological results might be affected. Differential diagnosis of the abdominal bronchogenic cysts includes gastrointestinal stromal tumor, Meckel’s diverticulum, intestinal duplication cyst, and lymphangioma[ 8 ]. We consider that preoperative imaging is an important approach for differentiation of abdominal bronchogenic cysts from gastrointestinal stromal tumor, Meckel’s diverticulum, intestinal duplication cyst and lymphangioma .…”

Retroperitoneal Bronchogenic Cyst Located in the Presacral Space: A Case Report

“…The pathogenesis of bronchogenic cysts was not revealed clearly. However, a reasonable speculation is that bronchogenic cyst is related to embryonic abnormal development that the tumor arises from primitive foregut because of the lung bud development malformation (5).…”

“…The pathogenesis of bronchogenic cysts was not revealed clearly. However, a reasonable speculation is that bronchogenic cyst is related to embryonic abnormal development that the tumor arises from primitive foregut because of the lung bud development malformation ( 5 ). Therefore, (the) many bronchogenic cysts located in the lungs and heart have been reported, but little has been reported in the abdominal cavity, especially in retroperitoneum ( 5 ).…”