Bronchogenic cyst of the left lower lobe associated with severe hemoptysis

Abstract

Bronchogenic cysts result from congenital disorders, are often asymptomatic at diagnosis, but complications are not uncommon. We report the case of a 19-year-old woman with severe hemoptysis. This rare presentation of an intrapulmonary bronchogenic cyst should be considered as differential diagnosis in patients with cavernous lesion of a lobe. Surgery was performed as a diagnostic and therapeutic measure.

Bronchogenic Cysts of the Lung: Report of 29 Cases

“…Therefore early surgical intervention prevents future complications [3][4][5]9]. In the presented study, comparison of complicated BCs with simple BCs considering complications revealed that complications occur more frequently in complicated BCs, which is statistically meaningful (P = 0.026).…”

“…The cavity within the parenchyma was closed with capitonnage. We suggest that epithelial layer should be destroyed with utmost care and attention, since recurrence may occur if a full de-epithelisation fails [3][4][5]9,15,16]. Two cases (18.2%) in Group II, in which we performed partial excision with de-epithelisation showed recurrence, as well.…”

“…It may be difficult to differentiate an intrapulmonary BC from an acquired cystic lesion (such as a lung abscess, a hydatid cyst, an infected bulla, lobar emphysema, fungal diseases, and tuberculosis, especially when the lesions manifested are air-filled or have an air-fluid level). There are no specific CT and MR imaging findings that allow easy differentiation [1,5,7]. We operated on two of our patients based on the pre-diagnosis of bulla and one based on the pre-diagnosis of hydatid cyst.…”

“…BCs are more commonly located in the mediastinum, intrapulmonary cysts represent about 15-20% of all the BCs and usually occur in the lower lobes. They are observed not only in infants and children, but also late in adults [4,5]. BCs may lead to compression, haemorrhage, and infection and thus be life-threatening [1].…”

Clinical Characteristics and Management of Intrathoracic Bronchogenic Cysts: A Single Center Experience

“…Intrapulmonary cysts were more often symptomatic than mediastinal cysts [8]. Sometimes, life-threatening complications, such as hemoptysis or respiratory distress, may occur [9,10]. In this study, 13 patients (54.2%) were symptomatic, and the most common symptom was cough, and symptoms in relation to location were not statistically meaningful.…”