Intra-abdominal bronchogenic cyst with gastric attachment: Report of a case

Abstract

We report a rare case of an intra-abdominal bronchogenic cyst. An abnormal lesion was detected on an ultrasonogram, done as part of a physical checkup, in an 81-year-old woman. Computed tomography and magnetic resonance imaging showed a cystic mass attached to the lesser curvature of the stomach. Initially, we suspected a congenital cyst without malignant components; however, as the patient wished to have the lesion removed, we performed a minilaparotomy. The cystic lesion was firmly attached to the lesser curvature by fibrous tissue. Microscopic examination subsequently revealed the 26-mm mass to be a benign bronchogenic cyst with a bronchial element. We compared our findings with those of 50 previously reported cases of intraabdominal bronchogenic cysts. None of these patients was older than ours, and lesions attached to the esophagus or stomach were extremely unusual. Bronchogenic cysts are difficult to diagnose preoperatively based on imaging findings, but surgery may be indicated if malignant components are suspected, or if the lesion is enlarging or causing symptoms.

Intra-abdominal bronchogenic cyst: report of five cases

“…According to the largest review of cases, 76.5% of subdiaphragmatic BCs were located in the retroperitoneal space and 81% were located on the left side of the midline, perigastric area, left adrenal gland, or superior body of the pancreas. 4 Our results are in agreement with previous reports with respect to location. These typical locations of BCs can lead to a misdiagnosis.…”

“…Retroperitoneal BCs have been reported to occur in both genders equally, and in a wide age range. 4 The reported average size of a BC is 5.72 cm, but can vary. 4 Most patients with BCs have vague, non-specific abdominal symptoms.…”

“… 4 The reported average size of a BC is 5.72 cm, but can vary. 4 Most patients with BCs have vague, non-specific abdominal symptoms. 4 As more patients undergo routine medical evaluations, the incidental detection of BCs has correspondingly increased.…”

“… 4 Most patients with BCs have vague, non-specific abdominal symptoms. 4 As more patients undergo routine medical evaluations, the incidental detection of BCs has correspondingly increased. However, large BCs can produce symptoms related to infections or compression of adjacent organs.…”

Multiple Bronchogenic and Gastroenteric Cysts Arising from the Stomach in a Patient with Abdominal Pain

“…Gensler et al reported the first case of an intramural gastric cyst in 1966 that was composed of ciliated pseudostratified columnar epithelium with focal squamous metaplasia. Since then, review of the literature reveals less than thirty case reports of single bronchogenic cysts located in the gastric mucosa [1–3]. …”