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At least 19 recordsLinked to original sources
PubMed2002

Unusual case of stridor and wheeze in an infant: tracheal bronchogenic cyst.

Bronchogenic cysts are congenital anomalies that represent aberrant development of the foregut. Bronchogenic cysts in the mediastinum have been documented in both children and adults, but only one case of tracheal bronchogenic cyst in an infant was found in the literature. We report on a case of an infant with wheeze, stridor, and retractions, caused by a midtracheal bronchogenic cyst. This entity, with its unusual location, should be considered in the differential diagnosis of respiratory distress, cyanotic spells, wheezing, and stridor in infants.

Bronchogenic Cyst↗
PubMedDate not supplied

[Imaging of bronchogenic cysts].

Bronchogenic cysts, unlike the other mediastinal cysts, exhibit a high incidence of complications, which makes their resection advisable even if no symptoms are present. The correct diagnosis should thus be made with the available imaging modalities. We reviewed our series of 11 bronchogenic cysts, all of them studied with conventional radiology (CR), as well as with such newer imaging modalities as CT and/or MRI. All mediastinal lesions had fluid density at CT and were homogeneously hyperintense on T2-weighted MR images. On the contrary, on T1-weighted images, some lesions were hypointense and some hyperintense, probably because of their rich protein content. In contrast, hilar or pulmonary lesions had air inside, except for one case--characterized by multiple localizations--in which the hilar lesion exhibited the same fluid density as the mediastinal lesions. The CT or MR finding of a lesion with fluid content below the carina permits a nearly unquestionable diagnosis of bronchogenic cyst since the other cystic lesions involve this region very rarely. In all the other cases, other types of mediastinal or hilar-pulmonary lesions cannot be ruled out. In particular, in case of cysts in paraesophageal site, no imaging modality permits to differentiate bronchogenic from enteric cysts; in some cases, the differential diagnosis may be impossible even with histology of the resected specimen.

Adolescent↗
PubMed2006

[Intrapulmonary bronchogenic cysts].

Bronchogenic cysts are commonly found in the mediastinum, but occasionally in lung parenchyma. We report 3 patients with intrapulmonary bronchogenic cysts. A female presented back pain and a large cystic lesion with an air-fluid level on chest X-ray and computed tomography (CT). Another female was asymptomatic. A well-defined round mass with soft tissue intensity on magnetic resonance imaging (MRI) was found. A girl with repeated pulmonary infection and treatment in hospital for several years presented pulmonary infiltrate, air-fluid level, and oval linear shadow on X-rays. All patients underwent lobectomy because of the size and the non-anatomical location of their lesions. Definite diagnosis on their lesions was determined by pathological study. Several small communications between the cyst and adjunctive parenchyma was found in the symptomatic girl, while the cyst was isolated from surrounding parenchyma in the asymptomatic female. We suggest symptoms and various presentations on imaging modalities in patients with intrapulmonary bronchogenic cysts might relate to the amount of original communication between their cysts and native lung.

Adolescent↗
PubMed1995

Pedicled pericardial patch repair of a carinal bronchogenic cyst.

Bronchogenic cysts should be completely removed. Small communications with the tracheobronchial tree occur, but extensive involvement is rare. A case of bronchogenic cyst replacing the carina and the medial wall of the right and left main bronchi is presented. Resection and reconstruction was accomplished by using a pedicled pericardial patch to close the defect created by removal of the bronchogenic cyst. Follow-up at 2 years shows an excellent result.

Bronchogenic Cyst↗
PubMed2005

[Cutaneous bronchogenic cyst].

Bronchogenic cysts rarely affect the cutaneous surface, so they are difficult to diagnose clinically and are often confused with other types of cysts. We present the case of a young adult in whom a cystic lesion showing characteristics of a bronchogenic cyst was excised from the upper thorax area. We emphasize the fact that, in nearly all cases, the diagnosis of this pathology is made through a histopathological study, and we make special reference to the differential diagnoses.

Adult↗
PubMed2001

Paravertebral and diaphragmatic mass: an ectopic location of bronchogenic cyst.

Bronchogenic cysts constitute one area of the broad spectrum of developmental anomalies of the primitive foregut. They arise from anomalous budding of the primitive tracheobronchial tube and are commonly located in the mediastinum or the lung parenchyma, closely related to the tracheobronchial tree. In rare cases, they can migrate to subpleural, pericardial, paravertebral and cervical locations, if embryological connections with their parent bronchus are lost. Plain chest radiography and computed tomography have been the primary imaging modalities used for diagnosis. Computed tomography is frequently associated with misleading information with respect to the cyst density. Magnetic resonance imaging has been shown to be useful in the differential diagnosis of cystic mediastinal masses. We present a patient with two asymptomatic bronchogenic cysts found at a distance from the tracheobronchial tree.

Bronchogenic Cyst↗
PubMed1994

Hemodynamic compromise secondary to a mediastinal bronchogenic cyst.

Bronchogenic cysts are not commonly the cause of severe symptoms, and often present only as an abnormality on chest roentgenogram. We report an unusual patient with a mediastinal bronchogenic cyst associated with rapid hemodynamic deterioration secondary to compression of vital structures.

Adult↗
PubMedDate not supplied

[A retroperitoneal bronchogenic cyst].

Bronchogenic cyst is a rare congenital (developmental) anomaly. It is usually asymptomatic but its enlargement and localization may cause serious symptoms. Exact preoperative diagnosis is rarely established. As a rule, it is established during histological examination of the resected specimen. We present a patient with a subdiaphragmatic retroperitoneal bronchogenic cyst in whom exact diagnosis was documented by histological examination of excised cyst. To our knowledge this is the third such case ever reported.

Adult↗
PubMed1988

[Pulmonary and mediastinal bronchogenic cysts].

Bronchogenic cysts are relatively rare anomalies with a congenital origin resulting in an abnormal branching of the tracheo-bronchial tree. They either develop in the pulmonary parenchyma or in the mediastinal region. Between 1975 and 1987, 21 cases of bronchogenic cysts were operated upon. Eighteen of these cysts had a pulmonary localisation and 3 were mediastinal. Only 8 of these were diagnosed pre-operatively by bronchoscopy. The major reason for delay in diagnosis is persistent or recurrent pulmonary infection. Eight cases were treated by cystectomy, 4 by simple wedge resection, 4 by segmental resection, 3 were extirpated and 2 by lobectomy.

Adolescent↗
PubMed2006

Multiple cervical bronchogenic cysts.

Bronchogenic cysts are rare, benign, congenital lesions that occur as a result of aberrant development of the tracheobronchial tree during embryogenesis. They usually present during the first decade of life and are encountered predominantly within the mediastinum or the lung parenchyma. In a few instances, they appear within the neck mimicking a neoplasm and, depending on their size and site, may also cause acute upper respiratory obstruction. We describe a case of two cervical bronchogenic cysts adjacent to the larynx in a child who presented with a hoarse voice.

Bronchogenic Cyst↗
PubMed2005

Infrared illumination during thoracoscopic excision of mediastinal bronchogenic cysts.

Bronchogenic cysts are congenital abnormalities that occur due to abnormal development of the ventral foregut. Most share a common wall with the esophagus. Excision is indicated to prevent complications such as mass effect or infection. Thoracoscopic resection has been previously described. Injury to the adjacent esophagus is a potential complication due to its close proximity, and placement of an esophageal bougie is often used to help identify the esophagus. We describe a technique utilizing the InfraVision Esophageal Kit (Stryker Endoscopy, San Jose, California) to assist in the illumination of the esophagus during dissection of mediastinal bronchogenic cysts in 3 children. The system consists of an infrared light-emitting probe and an infraredsensing endoscopic camera. The probe is easily placed prior to surgery, and allows for easy identification of the esophagus. It also clarifies the dissection plane between the cyst and the esophagus. This technique facilitates dissection of mediastinal cysts and helps avoid injury to the esophagus. It was found to be safe and effective in 3 children. The system may be applicable to other esophageal operations such as Nissen fundoplication or Heller myotomy.

Bronchogenic Cyst↗
PubMed2006

Mycobacterial infection of intraparenchymal bronchogenic cysts.

Bronchogenic cysts (BCs) may rarely cause some interesting and unusual complications. Although infection is a common complication of BCs, there are only two patients with BC infected with mycobacterium in English literature. Two intraparenchymal BCs infected with mycobacterium are presented here as unusual complications. Cystectomy was performed for the cysts. They were given antituberculosis treatment. No complication or recurrences were detected in follow up period.

Adult↗
PubMed2006

Left ventricular bronchogenic cyst.

Bronchogenic cysts occurring in the left ventricle are a medical rarity. One successfully operated case is reported herein. The location of the cyst was just between the epicardium and myocardium of the inferior left ventricular wall, adjacent to the apex of the heart. Complete excision was achieved through a left anterolateral thoracotomy without extracorporeal circulation.

Bronchogenic Cyst↗
PubMed1989

Bronchogenic cysts.

Bronchogenic cysts are relatively uncommon congenital lesions. They may be detected on routine radiography in asymptomatic patients or may present with various manifestations, some of which may be life-threatening. Age at diagnosis ranges from infancy to late adulthood, with asymptomatic lesions occurring more often in older children and adults. Cysts may be located in subcarinal, paratracheal, hilar, paraesophageal and intrapulmonary sites. The chest radiograph is the primary diagnostic study, with computed tomographic scans of the chest providing more definitive evaluation. Despite some controversy, surgery is considered the treatment of choice, even in the asymptomatic patient.

Bronchogenic Cyst↗
PubMed1997

[Thymic cyst resembling a bronchogenic cyst].

Bronchogenic cysts are common cystic lesions in the mediastinum. Most are located in the middle or posterior ares of the mediastinum, especially around the carina. We encountered a patient with a mass in the superior and anterior areas of the mediastinum, where bronchogenic cysts are not usually found. The mass was therefore, thought to be a thymic cyst. The cyst was located just behind the sternum and in front of the left brachio-cephalic vein, and was 5.5 x 3.5 x 1.2 cm. It originated in the upper and median part of the thymus, and was not attached to the respiratory tract. Histological examination showed ciliacted epithelium and a layer of smooth muscle in the wall of the cyst. The cyst contained viscid, yellowish, turbid fluid. Preoperative computed tomography and magnetic resonance imaging showed findings characteristic of bronchogenic cysts, except for the location. We know of no previous reported case of a thymic cyst resembling a bronchogenic cyst.

Bronchogenic Cyst↗
PubMed1984

[Bronchogenic cysts and their atypical localizations. A case of pleuro-diaphragmatic cyst].

Bronchogenic cysts represent about 10 p. 100 of all surgical tumours of the mediastinum. They can never be diagnosed with absolute certainty prior to the operation, but when they arise in their typical sites, they can be suspected with a high probability. However, they can occur in very atypical sites, in which case the diagnosis remains very hypothetical until the operation. The authors report a case of a cyst which developed under the diaphragmatic pleura, in direct contact with the dome of the diaphragm and attached to the mediastinum by a fine vascular pedicle which inserted in the root of the triangular ligament.

Adult↗
PubMed2005

Cervical bronchogenic cysts in head and neck region.

Congenital cysts of the neck are not uncommon. Most of these are thyroglossal, branchial cleft and thymic cysts. Bronchogenic cysts are uncommon developmental anomalies of the tracheobronchial tree and rarely occur in the neck. More than 70 cases of bronchogenic cysts in the head and neck region have been reported in the literature. We report three cases presenting with neck swelling in the hyoid region that were diagnosed as bronchogenic cysts based on clinical and histopathological findings.

Bronchogenic Cyst↗