Unusual presentation of dysphagia caused by bronchogenic cyst

Chen, Chih‐Hao; Ho-Chang,; Yang, Liang-Yu; Huang, Yi-Zhen; Hung, Tzu-Ti

doi:10.1258/shorts.2011.010116

Cited by 1 publication

(1 citation statement)

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“…Our patient had an unusual initial presentation of dysphagia which is very uncommon and makes it interesting as it can initially pursue evaluation for gastrointestinal pathology and cause further delay in reaching a diagnosis. The similar presentation has been described by Kapoor et al, Manish et al and Chih-Hao Chen et al [4][5][6]. In all of these cases, gastrointestinal evaluation was initially pursued with barium swallow and esophagogastroduodenoscopy.…”

Section: Discussionsupporting

confidence: 68%

An Unusual Cause of Dysphagia in a Young Patient: Mediastinal Bronchogenic Cyst

Thapa

Scott

2018

J Med Cases

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Bronchogenic cysts are rare congenital foregut malformations that develop due to abnormal budding of the embryonic foregut and tracheobronchial tree. Patients typically present during the second decade of life with respiratory symptoms. We present a 22-year-old patient who presented with dysphagia as initial symptom which is very uncommon. This makes it interesting and misleading as it can initially pursue evaluation for gastrointestinal pathology and cause further delay in reaching the diagnosis. Bronchogenic cysts appear on chest radiograph as round, water-density masses. CT typically shows sharply marginated cystic mediastinal masses of soft tissue. On histologic examination, the cyst is lined by respiratory epithelium with occasional foci of squamous metaplasia. The presence of cartilage plates is the most reliable diagnostic criterion. The management of a bronchogenic cyst consists of surgical excision by video-assisted thoracoscopy (VATS) or thoracotomy.

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Section: Discussionsupporting

confidence: 68%