Mediastinal bronchogenic cyst mimicking congenital lobar emphysema

Arun, Sumitha; Kumar, Manish; Ross, Benjamin

doi:10.1136/bcr-2016-216704

Cited by 7 publications

(8 citation statements)

References 9 publications

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“…Esophageal symptoms (particularly feeding problems), critical airway obstruction, and severe lower respiratory symptoms (cough, fever, dyspnea, and hypoxia) were the most common clinical presentations in the enrolled patients, in line with previously reported case reports and case series [ 2 , 3 , 4 , 7 , 8 , 11 , 12 , 13 , 14 ]. In cases 1 and 3, the patients presented with recurrent cough and choking since the second week of life, and dynamic airway compression mimicking congenital lobar emphysema (CLE).…”

Section: Discussionsupporting

confidence: 89%

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Clinical Presentation and Surgical Management of Five Pediatric Cases with Bronchogenic Cysts: Retrospective Case Series

et al. 2022

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Background: Bronchogenic cysts (BCs) refer to congenital lesions that result from primitive or abnormal foregut budding, and can be pulmonary or mediastinal. Their occurrence can take place at any point on the tracheobronchial tree, but they are usually localized in the lung parenchyma and mediastinum, and may be symptomatic or asymptomatic. Bronchogenic cyst symptoms can vary, depending on the size and location of the cyst. Methods: A retrospective review of the charts of five patients with a histopathological diagnosis of bronchogenic cysts was performed between 2014 and 2020. The patients reported in this study were diagnosed and managed at Abha Maternity and Children Hospital, Abha, southwest Saudi Arabia. In addition, demographic information, as well as diagnostic and therapeutic information, was provided for each patient, both at discharge and after discharge. All patients had confirmed congenital bronchogenic cysts with different clinical phenotypes and radiological findings. (3) Results: All patients had histopathologically confirmed bronchogenic cysts with different clinical and radiological presentations. Two patients had mediastinal-located cysts; one had a laryngeal cyst; and the last two patients had infected intrapulmonary bronchogenic cysts. All patients underwent complete excision and did not experience recurrence or other postoperative complications during the follow-up period. The latter two patients required lobectomies of the right middle and upper lobes. (4) Conclusions: Although bronchogenic cysts are considered a rare congenital pulmonary malformation, they should be considered in the differential diagnosis of pediatric patients with unusual airway and parenchymal lung manifestations, particularly, persistent stridor, feeding difficulty, and complicated pneumonia. Surgical excision of the cyst is the gold-standard therapy for symptomatic bronchogenic cysts and is highly recommended for asymptomatic ones. Long-term follow-up studies will be required to explore any long-term complications of BCs, particularly regarding the malignancy transformation.

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Section: Discussionsupporting

confidence: 89%

“…For instance, Arun et al reported a 3-day-old neonate who had severe respiratory distress, where the plain chest X-ray revealed CLE. Prior to the surgery, a chest CT scan was performed, which revealed a BC compressing the main-stem bronchi, causing severe air trapping and mimicking the CLE diagnosis [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical Presentation and Surgical Management of Five Pediatric Cases with Bronchogenic Cysts: Retrospective Case Series

et al. 2022

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“…A wide range of diagnostic modalities is available for the detection of bronchogenic cysts [2,8]. These techniques are mainly radiological and include magnetic resonance imaging (MRI) and computed tomography (CT) [6,13]. Other invasive diagnostic strategies can be used, such as fine-needle aspiration or excisional tissue examination, which is considered the most accurate diagnostic method [8,20].…”

Section: Diagnosis Of Bronchogenic Cystsmentioning

confidence: 99%

“…This can significantly reduce the incidence of complications [5]. Yet, surgical intervention may be associated with complications in cases where cysts are adherent to surrounding tissue, making total excision more challenging [6,19]. In such situations, the remaining part of the cyst can lead to flare-up attacks or other complications in the long term, which favors conservative therapy [14].…”

Section: Management Of Bronchogenic Cystsmentioning

confidence: 99%

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Review Article: Intramural Bronchogenic Cysts in the Pediatric Population

Almatrafi

2020

Cureus

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A bronchogenic cyst is a rare congenital malformation. It occurs due to the development of buds in any part of the tracheobronchial area. It can also lead to fatal complications, especially in the early stages of life. However, data on its diagnosis and treatment are scarce, owing to the rarity of the disease. This review article aimed at evaluating the literature on the manifestations of intramural bronchogenic cysts in the pediatric population. Medical databases were examined thoroughly to explore eligible articles for inclusion. Twenty-three articles appeared in the search result. The produced reports were evaluated against the predecided inclusion criteria. After reviewing the literature, eight articles were eligible for inclusion in this review. The included articles were published between 2000 and 2020. An intramural bronchogenic cyst is a rare condition that should not be neglected in a differential diagnosis. Surgical excision is currently the recommended management strategy. Further extensive studies about the management of the complications of intramural bronchogenic cysts are needed.

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