Intrabronchial Rupture of Bronchogenic Cyst

Sundaramoorthi, Thiagarajamurthy; Ramasamy, Mahadevan; Kaliaperumal, Nedumaran; Jayaraman, Samy; Vaidyanathan, Karthik

doi:10.1016/j.athoracsur.2008.10.018

Cited by 16 publications

(10 citation statements)

References 6 publications

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“…Radiologically, a BC is seen as a homogenous solid mass with a fluid density on a chest X-ray or CT scan. Due to the association with the bronchial system, intrapulmonary BCs may present as irregular masses (10). When the cyst is infected, it may resemble hydatid disease, pulmonary abscess, or a malignancy (11).…”

Section: Discussionmentioning

confidence: 99%

A Rarely Seen Symptomatic Intrapulmonary Bronchogenic Cyst

Balta¹,

Günay²

2019

Respir Case Rep

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A bronchogenic cyst (BC) is a rarely seen benign congenital malformation of the bronchial tree. These cysts are lined with secretory respiratory epithelium, and are similar to a normal bronchial tree, including cartilage, elastic tissues, mucous glands and smooth muscle. They are usually asymptomatic, but a cough, fever, and hemoptysis may be seen. On plain radiographies, cysts are homogenous lesions, but if there is additional infection, an air-fluid level can be seen. This is a description of a rarely seen symptomatic intrapulmonary bronchogenic cyst and a review of the published literature.

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Section: Discussionmentioning

confidence: 99%

A Rarely Seen Symptomatic Intrapulmonary Bronchogenic Cyst

Balta¹,

Günay²

2019

Respir Case Rep

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“…Mediastinal air cysts in adults are extremely rare, and their differential diagnosis may include tracheocele (also known as paratracheal air cyst or tracheal diverticulum) [3], bronchogenic cyst [4], and bronchopulmonary foregut duplication cyst [5]. On the basis of our case, we recommend that BD should be added to this list.…”

Section: Discussionmentioning

confidence: 99%

Enlarged mediastinal air cyst in a patient with bronchial diverticula localized in the left main bronchus: a case report with surgical and bronchoscopic findings

et al. 2017

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BackgroundA mediastinal air cyst is a rare computed tomography (CT) finding. Once the lesion is identified, it is difficult to diagnose and treat. Meanwhile, bronchial diverticula have been reported as a CT finding observed in certain pulmonary pathologic conditions. We encountered the case of an enlarged mediastinal air cyst accompanied with bronchial diverticula and upper lobe-dominant fibrous changes of the lung.Case presentationA 69-year-old man with a chronic cough who had regularly visited a chest physician for upper lobe-dominant pulmonary fibrosis was referred to our hospital for the examination of an enlarged mediastinal air cyst. Chest CT exhibited an air cyst (size, 30 mm) connected to the lumen of the left main bronchus (LMB) and multiple tiny outpouches only on the LMB. Flexible bronchoscopy showed bubbling from slits or indentations of the bronchial mucosa only in the LMB but not in the right main bronchus or lobar bronchus. For therapeutic diagnosis, we removed the air cyst. Based on clinical, surgical, and pathological findings, we diagnosed the air cyst as an enlarged bronchial diverticulum.ConclusionsThis is the first case wherein bronchoscopic and surgical findings of bronchial diverticula and an enlarged bronchial diverticulum are reported. There are possible pathogenic mechanisms in cases of pulmonary disease that are attributable to enlargement of the bronchial diverticula.Electronic supplementary materialThe online version of this article (doi:10.1186/s40792-016-0282-y) contains supplementary material, which is available to authorized users.

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“…Ramsay et al, [1] purport that rupture of the obstructing septum of a dilated mucocele caused by bronchial atresia may be the origin of congenital bronchiectasis. Rupture of cysts caused by bronchial atresia has not been reported in adults, but rupture of mediastinal bronchial cysts has been seen [2,3]. Amylase is usually secreted from bronchial glands [4]; therefore, if the wall of a cyst is lined by bronchial epithelium, it is possible that the amylase could cause bronchial cyst rupture.…”

Section: Case Presentationmentioning

confidence: 99%

A case of acute respiratory failure due to bronchial rupture of an intrapulmonary cyst

Hata¹,

Iwata²,

Naito³

et al. 2014

Emerg Med Health Care

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Background: The bronchial rupture of intrapulmonary cyst is very rare. We describe a case of bronchial rupture of intrapulmonary cyst which caused acute respiratory failure. A 31-year-old pregnant woman was taken to our hospital with acute respiratory failure. Chest radiography showed right atelectasis. After cesarean with endotracheal intubation, the atelectasis and respiratory failure immediately improved. However, several days later she was suffered with dyspnea with right atelectasis again. Bronchoscopy revealed necrotic material obstructing the right upper bronchus. After she continued to expectorate necrotic material, chest computed tomography revealed an empty cyst in the right upper lobe. Bronchoscopy showed cecal cystic bronchiectasis and absence of the B1/2 bronchi. We diagnosed as intrapulmonary cyst caused by the bronchial atresia of B1/2. Presuming that the contents of the ruptured intrapulmonary cyst caused acute respiratory failure, we performed a right upper lobectomy. Although intrapulmonary cysts are often asymptomatic, life-threatening rupture can occur suddenly. We believe that the cyst's potential for bronchial rupture is an indication for surgery.

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Intrabronchial Rupture of Bronchogenic Cyst

Cited by 16 publications

References 6 publications

A Rarely Seen Symptomatic Intrapulmonary Bronchogenic Cyst

A Rarely Seen Symptomatic Intrapulmonary Bronchogenic Cyst

Enlarged mediastinal air cyst in a patient with bronchial diverticula localized in the left main bronchus: a case report with surgical and bronchoscopic findings

A case of acute respiratory failure due to bronchial rupture of an intrapulmonary cyst

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