The thorax
Spencer W. Beasley, John Hutson, Mark Stringer, Sebastian K. King, Warwick J. Teague in Paediatric Surgical Diagnosis, 2018
Diseases of the lung or the pleural cavity range from being life-threatening to asymptomatic, with the diagnosis being made on incidental imaging. Lung conditions may be congenital or acquired but, with few exceptions, pleural problems are acquired. In children, the more common congenital pulmonary conditions include:Congenital lobar emphysema.Congenital pulmonary airway malformation.Pulmonary sequestration (intralobar or extralobar).Bronchogenic cyst.
Endoscopic ultrasonography
Nizar Zein, Bret Lashner in The Year in Gastroenterology and Hepatology, 2005
(83%), whereas the EUS-FNA specimens were adequate in all 18 cases. The difference in diagnostic yield between EUS-TNB (78%) and EUS-FNA (89%) was not significantly different. Two complications were encountered. One patient with a gastric stromal tumour had bleeding that was treated with 1:10 0 0 0 epinephrine. Another patient who underwent six EUS-FNA passes and an additional three EUS-TNB passes developed mediastinitis, which eventually required surgety. Both EUS-FNA and TNB were non-diagnostic. The diagnosis of a bronchogenic cyst was made surgically. The authors found the device to be quite stiff, which limited tip deflection of the echo endoscope and its use in the duodenum. Additionally, ~t is difficult to determine whether EUS-FNA, -TNB or their combination led to the complications.
A Bronchogenic Cyst Masquerading as a Paraesophageal Hiatal Hernia
Wickii T. Vigneswaran in Thoracic Surgery, 2019
She was taken to the operating room for a cyst excision. A thoracotomy was performed with a concurrent mobilization of an intercostal muscle flap to cover the bronchial communication. The cyst was well-incorporated in the parenchyma of the right lower lobe. Given the proximity of the cyst to the hilar structures of the lower lobe, a lobectomy was performed to completely excise the cyst (Figure 25.3). The cyst was also in close proximity to the esophagus, however, and was able to be dissected off the esophagus with no violation of the esophageal wall. The patient had an uncomplicated postoperative course and was sent home on postoperative day four. The final pathology was consistent with a benign bronchogenic cyst.
Pediatric Bronchogenic Cysts: A Case Series of Six Patients Highlighting Diagnosis and Management
Published in Journal of Investigative Surgery, 2020
Jason E. Cohn, Kimberly Rethy, Rajeev Prasad, Judy Mae Pascasio, Katie Annunzio, Seth Zwillenberg
The decision was made to bring the patient to the operating room for excision of this chest wall mass. A 5 mm incision was made through the skin surrounding the dimpled area. The incision was then extended down through the dermis using monopolar cautery. Once the cystic mass was identified, blunt dissection was performed circumferentially around the subcutaneous tissues. At one point, the cyst was entered and thick fluid was expressed. Further dissection was performed and the mass was amputated from the base ensuring not to leave any tissue behind. Histopathology revealed an ill-defined, collapsed cyst lined by epithelium. At higher magnification, there was variable epithelial lining including simple cuboidal, tall columnar, and pseudostratified columnar epithelium with some well-defined cilia. The diagnosis of a bronchogenic cyst was made. On 1-week follow-up, the patient’s incision was healing well and there were no signs of recurrence.
Lingual bronchogenic cyst in a young child: A case report
Published in Acta Oto-Laryngologica Case Reports, 2018
Agnes B. Gunnarsdottir, Johan S. Nilsson
A few months after the patient’s fifth birthday surgery was performed, with a submucosal total extirpation of the tumor. The tumor capsule was found to be relatively stable, in contrast to what was to be expected from a LM, and surrounding nerves could be identified and dissected from the tumor. The tumor was completely removed without any complications (Figures 2 and 3), and the patient was extubated directly postoperatively. The patient received phenoxymethylpenicillin prophylaxis. The postoperative period was free from complications, and 2 days after surgery the boy was discharged home, feeling relatively well. Histological examination of the tumor showed a 20 × 10 × 15 mm cyst, with a smooth cystic capsule and a ciliated respiratory epithelium, but without any signs of gastrointestinal epithelia. This confirmed the diagnosis of a benign bronchogenic cyst. Two months after surgery the boy returned for follow-up examination. Both subjectively and objectively the function of the tongue was normal, hypoglossal nerve function was intact, and its appearance was that of a normal tongue, apart from minor scar tissue on the ventral aspect (Figure 4). The patient denied any sensorineural or taste disturbances. There were no other problems or symptoms reported.
Cardiac tamponade as a complication of bronchogenic cyst
Published in Baylor University Medical Center Proceedings, 2021
Noman Lateef, Jason Kuniyoshi, Azka Latif, Muhammad Junaid Ahsan, Kashif Shaikh, Bradley DeVrieze, Aiman Smer, Ahmed Aboeata
A 44-year-old man with known hypertension, asthma, and sleep apnea presented with chest pain, dyspnea, and pink-tinged sputum. Physical examination, basic laboratory tests, an electrocardiogram, and chest radiograph did not show any abnormalities. Computed tomography angiography scan of the chest showed an 8.9 × 9.4 cm middle mediastinal mass in the subcarinal location. The mass had a cystic component and appeared to compress the left atrium and surrounding pulmonary vasculature (Figure 1a, 1b). Magnetic resonance imaging of the chest revealed findings consistent with a bronchogenic cyst (Figure 1c). Thoracic surgery was planned for elective resection of the cystic mass.