Retroperitoneal bronchogenic cyst: Report of a case and literature review

Itoh, Hiroshi; Shitamura, Takahiro; Kataoka, Hiroaki; Ide, Hisamitsu; Akiyama, Yutaka; Hamasuna, Ryoichi; Hasui, Yoshihiro; Osada, Yoshihito; Koono, Masashi

doi:10.1046/j.1440-1827.1999.00837.x

Cited by 49 publications

(48 citation statements)

References 11 publications

(30 reference statements)

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“…Ectopic localizations such as lingual, supraclavicular, diaphragmatic, intrapericardial, spinal, abdominal, and in the neck have been described. The subdiaphragmatic location is rare (5,6,7,8,9,10). The majority of these cysts (82%) are located in an imaginary triangle envisioned posterior to the stomach, defi ned by the midline, splenic vein inferiorly, and spleen/diaphragm superiorly/posteriorly (11).…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal bronchogenic cyst: prenatal diagnosis of cystoid formation, its progression and surgery

Malý¹,

Mihál²,

Michálková³

et al. 2014

BLL

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Abstract:Aim: Presentation of a rare localization of bronchogenic cyst in retroperitoneum. Material: A case of a patient with retroperitoneal localization of a bronchogenic cyst with a prenatally diagnosed cystic formation. The surgery was indicated at the age of 6 owing to the progression of lesion. The histopathological examination of removed cyst revealed the diagnosis of bronchogenic cyst. For four years following the surgery, the patient was clinically free of complications. The regularly performed ultrasound examinations of the abdomen have been showing normal fi ndings. Conclusion: Despite the fact that retroperitoneal localization of bronchial cyst is very rare it should be considered in differential diagnosis (Fig. 3, Ref. 16 The retroperitoneal bronchogenic cysts are a very rare fi nding. According to Pubmed, only 46 cases have been described in adults and children. Bronchogenic cysts are developmental abnormalities of primitive foregut. They develop between the third and sixth week of the embryonic development (1). They typically occur in lungs or mediastinum.We are presenting an interesting case of a nine-year-old girl with prenatal diagnosis of a retroperitoneal cystoid formation, and its subsequent progress leading to surgery at the age of six. The further follow-up after the surgery shows well-being of the patient who has been completely free of complications. Case reportThe cystic lesion was prenatally diagnosed in the left upper quadrant of abdominal cavity in a female fetus. It was interpreted as a pancreatic cyst. After her delivery, neither clinical symptoms nor pathological fi ndings were present in blood examination results. The follow-up took place in a surgical pediatric out-patient clinic based on confi rmed diagnosis of congenital multilocular pancreatic cyst. Regular ultrasound examinations showed a slight progression of lesion. The CT scan was performed at the age of 3. Further observation was indicated. When the patient was 6 years old, MRI confi rmed the progression of lesion as well (Fig. 1).The formation in size of 15 x 5 x 5 cm in the retroperitoneal space dorsal from pancreatic corpus and tail was shown. It was suspected that the origin of the trilocular cyst was in the pancreatic tail. The six-year-old girl was clinically without any problems with normal digestive functions. A surgery was considered. After discussing the surgical intervention with the girl's parents, the operation was indicated.During admission to hospital, the clinical examination revealed normal abdominal fi ndings with no palpable mass. The general examination including lymphnodal status was normal. The girl was eutrophic. The surgery was performed under general anesthesia through midline laparotomy. The exploration of bursa omentalis was performed. A trilocular cyst complying with MRI fi nding was identifi ed. The mass was located in retroperitoneum. The splenic artery and vein were dislocated by the cyst. The splenic fl exure was mobilized. A complete separation of the cyst from the pancreas, splenic vesse...

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Section: Discussionmentioning

confidence: 99%

Retroperitoneal bronchogenic cyst: prenatal diagnosis of cystoid formation, its progression and surgery

Malý¹,

Mihál²,

Michálková³

et al. 2014

BLL

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“…Benign cystic lesions of the retroperitoneum include lymphangioma, microcystic pancreatic adenoma, and cysts of urothelial and foregut origin. Cysts of foregut origin include bronchogenic cysts, which contain cartilage or seromucinous respiratory glands; esophageal cysts, which are composed of well-developed layers of smooth muscle without cartilage; and simple foregut cysts [4]. Lymphangiomas are extremely rare benign neoplasms of the lymphatic system.…”

Section: Discussionmentioning

confidence: 99%

“…They can occur in any location where the lymphatics are normally found. Head and neck lymphangiomas (cystic hygromas) account for 75 % of reported cases followed by axilla (20 %) [4]. Retroperitoneal lymphangiomas account for approximately 1 % of all lymphangiomas.…”

Section: Discussionmentioning

confidence: 99%

“…These range from largely asymptomatic state to acute-onset severe abdominal pain [3]. Abdominal ultrasound is a specific initial diagnostic test for intraabdominal lymphangioma, which shows a well-defined monoor polycystic lesion with internal septations [4]. Abdominal CT or MRI further characterizes the mass with respect to its size, location, involvement of other organs, and nature of its fluid [4].…”

Section: Discussionmentioning

confidence: 99%

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Giant Retroperitoneal Lymphangioma: a Rare Entity

et al. 2013

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Retroperitoneal lymphangiomas are rare benign tumors, and the exact incidence of which is not well known. They usually arise from the developmental abnormalities of retroperitoneal lymphatics or their traumatic rupture. Confusion with other cystic tumors of the retroperitoneum including those arising from the kidney and pancreas is common. They usually lack specific symptoms and are mostly detected accidentally, while very rarely, some may present with complications such as rupture, torsion, hemorrhage, or infection. We report a case of a 22-year-old female in whom preoperative diagnosis of retroperitoneal lymphangioma was made on the basis of radiological investigations. On exploration, a large lymphangioma arising retroperitoneally was identified and excised. Postoperative recovery was uneventful.

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“…L os tumores quísticos retroperitoneales no son muy frecuentes de ver en la patología quirúrgi-ca, de los pocos vistos, más de los dos tercios son malignos; lesiones benignas incluyen lipomas y leiomiomas, entre otros 1 . Los quistes broncogéni-cos son anomalías congénitas que resultan de una yemación aberrante de intestino primitivo ventral, siendo lo más frecuente encontrarlos en el mediastino.…”

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