Subdiaphragmatic Bronchogenic Cyst at the Gastroesophageal Junction Presenting With Dysphagia

Ballehaninna, Umashankar K.; Shaw, Jason A.; Brichkov, Igor

doi:10.1097/sle.0b013e31828e3e54

Cited by 11 publications

(11 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While subcarinal cysts may cause a persistent cough, bronchogenic cysts more distally in the tracheobronchial tree are frequently asymptomatic. Cysts along the esophagus or stomach may cause dysphagia due to their extrinsic compression [5].…”

Section: Discussionmentioning

confidence: 99%

“…Bronchogenic cysts arise during the fourth week of embryogenesis from the primitive foregut when a portion of the normal budding lung is pinched off and sequestered from the rest of the developing lung ending up most commonly at the subcarinal region [4,5]. Nevertheless, sub-diaphragmatic bronchogenic cysts can also be formed when cysts associated with the esophageal muscularis move distally along with the rapidly migrating esophagus after the development and septation of the trachea-esophageal groove and Open Acc J Bio Sci.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

"Incidental Finding of Bronchogenic Cyst During Laparoscopic Sleeve Gastrectomy"

Saber

Tabikha²,

Feghaly³

et al. 2021

OAJBS

View full text Add to dashboard Cite

Background: Bronchogenic cysts are exceptional congenital malformations, mostly diagnosed in children, rarely in adults. They are usually found in an intrathoracic region. We report a rare case of an intra-abdominal bronchogenic cyst located over the gastroesophageal junction identified incidentally during a laparoscopic sleeve gastrectomy.Case Presentation: A 37-year-old female with a BMI of 40 kg/m2 was admitted for a laparoscopic sleeve gastrectomy. During the procedure, a bulging lesion was incidentally identified adherent to the gastroesophageal junction. An intra-operative gastroscopy performed revealed signs of a mass effect above the GE junction and no signs of intra-gastric tumor. The decision of enucleation of the cystic lesion and abortion of the sleeve gastrectomy was taken. Approximation of the esophageal muscular layer was performed afterwards. The patient's post-operative hospital course was uneventful and imaging results showed no leaks or abnormalities. The final pathology results of the lesion revealed a bronchogenic cyst with no signs of malignancy. Discussion and Conclusion:Management of an incidental tumor at the GE junction can be very challenging. In our case, we opted for its resection while aborting the initial procedure to prevent further injuries to the esophagus. Excision of the tumor after an EUS would have been a valid option as well. Therefore, we highly recommend routine gastroesophageal endoscopy prior to any bariatric surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

"Incidental Finding of Bronchogenic Cyst During Laparoscopic Sleeve Gastrectomy"

Saber

Tabikha²,

Feghaly³

et al. 2021

OAJBS

View full text Add to dashboard Cite

show abstract

“…To the best of our knowledge, five English language publications have reported laparoscopically treated bronchogenic cyst located close to the EGJ (Table 1 ) [ 2 , 10 – 13 ]. In two of these five cases, the surgeons used enucleation of the tumor with mucosa integrity, because mucosa was intact.…”

Section: Case Presentationmentioning

confidence: 99%

“…Surgical resection is usually recommended because of the risk of malignant transformation. Simple excision of the tumor is usually performed, but major surgical resection has also been reported [ 2 ]. Laparoscopic excision of intra-abdominal bronchogenic cysts located close to the EGJ was recently reported as a less invasive procedure.…”

Section: Introductionmentioning

confidence: 99%

Bronchogenic cyst at esophagogastric junction treated by laparoscopic full-thickness resection and hand-sewn closure: a case report

et al. 2016

View full text Add to dashboard Cite

BackgroundWe herein report a case of a bronchogenic cyst arising from the esophagogastric junction treated by laparoscopic full-thickness extirpation. The full-thickness defect was closed by hand sewing a T-shaped line over the gastroendoscope as a bougie to prevent postoperative deformity or stenosis. Partial fundoplication (Toupet fundoplication) was added to prevent reflux.Case presentationA 32-year-old woman with a body mass index of 43 kg/m2 was admitted for treatment of a cyst-forming submucosal tumor (60 mm in diameter) on the anterior wall of the esophagogastric junction, which was detected during screening endoscopy before bariatric surgery. The tumor was an extraluminal growing type but exhibited severe erosion at the mucosal site. A cystic tumor such as a duplication cyst, bronchogenic cyst, or cyst-forming gastrointestinal stromal tumor was suspected, and the abovementioned surgery was carried out. The postoperative course was uneventful. The pathological findings revealed the tumor to be a benign bronchogenic cyst. Endoscopic examination 3 months postoperatively showed no deformity or stenosis, and the patient complained of no reflux symptoms.ConclusionThis procedure may be an efficient option for treatment of submucosal tumors on the esophagogastric junction to maintain function or avoid excessive surgery.

show abstract

“…However, some cases of bronchogenic cysts in the mediastinum perforating into the esophagus have been described (26). Intramural bronchogenic cysts in the gastroesophageal junction are extremely rare (only 6 cases have been reported in the English literature) (27)(28)(29)(30)(31)(32), and because of the rarity of intramural bronchogenic cysts in the esophagus and gastroesophageal junction, their unique clinicopathological features have not been well recognized. The treatment strategy for bronchogenic cyst is complete excision to avoid recurrence and rare malignant transformation (33,34).…”

Section: Introductionmentioning

confidence: 99%

Intramural bronchogenic cysts of the esophagus and gastroesophageal junction: A case report

et al. 2020

View full text Add to dashboard Cite

Bronchogenic cyst is a relatively rare congenital malformation that is often identified in the mediastinum. The occurrence of bronchogenic cysts in the intramural esophagus and gastroesophageal junction is rare. The present report describes three cases of intramural bronchogenic cysts of the esophagus and gastroesophageal junction and reviews the clinicopathological features of these lesions. A 35-year-old Japanese male (Case 1), a 50-year-old Japanese woman (Case 2) and a 34-year-old Japanese man (Case 3) presented with dysphagia, pharyngeal pain and heartburn, respectively. Upper endoscopic examination revealed submucosal tumors in the esophagus (Case 1 and 2) and gastroesophageal junction (Case 3). Subsequent endoscopic examination revealed perforation of the cyst into the surface of the esophageal mucosa (Case 2). Surgical resection was performed in all cases. Histopathological examinations revealed that the submucosal cysts were covered by respiratory-type ciliated epithelium without atypia. Cartilage and bronchial glands were not observed in any of the cases. The present review of the clinicopathological characteristics of bronchogenic cysts of the esophagus and gastroesophageal junction revealed that males and females were equally affected. The median age of the patients was 34.5 years with a wide age distribution. The most common main complaint was dysphagia. A pre-operative diagnosis of bronchogenic cyst is difficult because no specific imaging features are present. As surgical resection is recommended for this lesion, recognition of the clinicopathological features of bronchogenic cysts is important for an accurate pre-operative diagnosis.

show abstract

Subdiaphragmatic Bronchogenic Cyst at the Gastroesophageal Junction Presenting With Dysphagia

Cited by 11 publications

References 6 publications

"Incidental Finding of Bronchogenic Cyst During Laparoscopic Sleeve Gastrectomy"

"Incidental Finding of Bronchogenic Cyst During Laparoscopic Sleeve Gastrectomy"

Bronchogenic cyst at esophagogastric junction treated by laparoscopic full-thickness resection and hand-sewn closure: a case report

Intramural bronchogenic cysts of the esophagus and gastroesophageal junction: A case report

Contact Info

Product

Resources

About