Subdiaphragmatic bronchogenic cysts: Case series and literature review

Xiao, Jianchun; Zhang, Xueyang; Zhou, Hongru; Hong, Tzung-Pei; Li, Binglu; He, Xiaodong; Liu, Wei

doi:10.3389/fmed.2022.993091

Cited by 3 publications

(4 citation statements)

References 96 publications

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“…Rarely they lose their attachments and migrate to other areas like retroperitoneum. The cysts reported in literature are more likely to be detected in left abdomen (76.6%), upper abdomen (94.6%) and retroperitoneal space (76.6%) with the three most frequent areas for were the left adrenal region (36.0%), pancreatic region (10.8%), and gastric cardia/lesser curvature of the stomach (8.1%) [3] . Several hypothesis have been put forth to explain the sub diaphragmatic location of bronchogenic cysts, the one proposed by Sumiyoshi et al in 1985 seems to be most plausible [6] .…”

Section: Discussion and Reviewmentioning

confidence: 97%

“…Kim Coverts et al [2] in 2012 did a Medline search and found reports of 62 cases of retroperitoneal bronchogenic cysts out of which, after applying strict criteria of presence of Stratified, ciliated epithelium along with cartilage or smooth muscle or seromucus glands, only 30 cases were true retroperitoneal bronchogenic cysts. Similarly review by Xiao J et al [3] in 2022 using Pubmed database included 107 cases in literature with their own series of 19 cases showing true bronchogenic cyst. Our case met all the histopathological criteria and hence is a true retroperitoneal bronchogenic cyst.…”

Section: Discussion and Reviewmentioning

confidence: 99%

“…Retroperitoneal bronchogenic cysts, as first reported by Miller in 1953 are rare [2] . Adrenal involvement has been reported in fifty cases of retroperitoneal bronchogenic cysts [3] . Most remain asymptomatic, unless the size increases or complications like, cyst infection, haemorrhage or malignant transformation ensue.…”

Section: Introductionmentioning

confidence: 99%

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Adrenal bronchogenic cyst masquerading as an incidentaloma: Case report and review of literature

Patel¹

2023

J. Case Rep. Sci. Images

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Bronchogenic cysts are, rare developmental anomalies of ventral foregut, resulting from an aberrant budding of primitive tracheobronchial tree during third to seventh week of gestation. They are commonly found in thoracic cavity, in the region of posterior mediastinum and rarely at other sites like retroperitoneum. Retroperitoneal bronchogenic cysts involving adrenal gland is exceptionally rare with only fifty cases of adrenal bronchogenic cysts reported in literature. We present a case of a young 30 year old adult male who presented with left flank pain and right inguinal hernia. Contrast enhanced CT abdomen revealed a hypodense lesion in the region of left adrenal gland. The patient underwent open excision of tumor with Left adrenalectomy and was discharge on postoperative day five. Histopathologically, the tumor was seen to be lined with ciliated columnar epithelium suggestive of bronchogenic cyst. No complications or recurrence occurred after three years of follow up. Adrenal bronchogenic cysts are exceptionally rare tumors. It should be considered as differential diagnosis of Adrenal Incidentaloma.

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Section: Discussion and Reviewmentioning

confidence: 97%

Section: Discussion and Reviewmentioning

confidence: 99%

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Adrenal bronchogenic cyst masquerading as an incidentaloma: Case report and review of literature

Patel¹

2023

J. Case Rep. Sci. Images

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“…Regarding localization, our investigation revealed a predilection for cysts to be situated in the gastric cardia or posterior wall of the fundus. A large proportion of patients with BC have clinical manifestations of epigastric pain, while others generally experience nonspecific symptoms, which may be due to local tumor compression and infection[ 13 ]. Notably, four patients with gastric BC had elevated tumor marker levels.…”

Section: Discussionmentioning

confidence: 99%

Young patient with a giant gastric bronchogenic cyst: A case report and review of literature

Lu,

Jiao,

Sun

et al. 2024

World J Clin Cases

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BACKGROUND Gastric bronchogenic cysts (BCs) are extremely rare cystic masses caused by abnormal development of the respiratory system during the embryonic period. Gastric bronchial cysts are rare lesions that were first reported in 1956; as of 2023, only 33 cases are available in the PubMed online database. BCs usually have no clinical symptoms in the early stage, and imaging findings also lack specificity. Therefore, they are difficult to diagnose before histopathological examination. CASE SUMMARY A 34-year-old woman with respiratory distress presented at our hospital. Endoscopic ultrasound revealed an anechoic mass between the spleen, left kidney and gastric fundus, with hyperechogenic and soft elastography textures and with a size of approximately 6.5 cm × 4.0 cm. Furthermore, a computed tomography scan demonstrated high density between the posterior stomach and the spleen and the left kidney, with uniform internal density and a small amount of calcification. The maximum cross section was approximately 10.1 cm × 6.1 cm, and the possibility of a cyst was high. Because the imaging findings did not suggest a malignancy and because the patient required complete resection, she underwent laparotomy surgery. Intraoperatively, this cystic lesion was found to be located in the posterior wall of the large curvature of the fundus and was approximately 8 cm × 6 cm in size. Finally, the pathologists verified that the cyst in the fundus was a gastric BC. The patient recovered well, her symptoms of chest tightness disappeared, and the abdominal drain was removed on postoperative day 6, after which she was discharged on day 7 for 6 months of follow-up. She had no tumor recurrence or postoperative complications during the follow-up. CONCLUSION This is a valuable report as it describes an extremely rare case of gastric BC. Moreover, this was a very young patient with a large BC in the stomach.

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Clinical and imaging characteristics of patients with bronchogenic cysts: a single-center retrospective analysis

Ma,

Chen,

Wang

et al. 2023

BMC Med Imaging

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Background Bronchogenic cysts (BCs) are rare and usually asymptomatic malformations detected during imaging examinations. We aimed to investigate the clinical and imaging characteristics of patients with BCs. Methods We retrospectively evaluated patients who received surgery to remove their BCs from January 2015 to January 2019. Their baseline characteristics, clinical information, and imaging results were reviewed. Results Our study included 129 patients, with 57 males and 72 females and a mean age of 42.7 years old. The most common location for BCs was the mediastinum (67 patients, 51.9%). Fewer than half of the patients (53 patients, 41.1%) reported clinical symptoms, with chest pain being the most common (16 patients, 30.2%). Neck BCs were more frequently observed in young patients (P = 0.002) and were more often associated with thyroid cancer (P = 0.007). A computed tomography scan was the most commonly used method to diagnose BCs in the lung and mediastinum, whereas ultrasound was the most commonly used diagnostic method for neck BCs. The characteristic images were well-defined, thin-wall cystic lesions in varying densities. A few lesions showed small, calcified spots along the rim or cavities. Conclusions Although most BCs were found in the mediastinum, their locations could vary in different sex and age groups. Particular attention should be paid to young patients with BCs in the neck to rule out thyroid cancer.

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Subdiaphragmatic bronchogenic cysts: Case series and literature review

Cited by 3 publications

References 96 publications

Adrenal bronchogenic cyst masquerading as an incidentaloma: Case report and review of literature

Adrenal bronchogenic cyst masquerading as an incidentaloma: Case report and review of literature

Young patient with a giant gastric bronchogenic cyst: A case report and review of literature

Clinical and imaging characteristics of patients with bronchogenic cysts: a single-center retrospective analysis

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