Intradiaphragmatic bronchogenic cyst: report of a rare new case.

Bronchogenic cysts (BCs) are congenital abnormalities commonly found within the mediastinum. Diaphragmatic location is extremely rare. We present a woman in her 60s with an asymptomatic intradiaphragmatic BC. The patient underwent complete surgical resection with primary closure of the left hemidiaphragm. BCs should remain a differential diagnosis of any soft-tissue mass in the region of the diaphragm. Complete surgical resection is recommended even in asymptomatic patients to avoid complications such as infection, rupture, bleeding or malignant transformation.

Bronchogenic cyst in an unusual location.

Bronchogenic cysts are congenital anomalies of the respiratory tract, which can affect children or adults. In adults, these cysts may be asymptomatic or present with symptoms, most often pain or cough. Intrapericardial cysts are rare and represent 27% of bronchogenic cysts. We present the case of a symptomatic adult with an intrapericardial bronchogenic cyst, who underwent surgical resection of the cyst, which successfully relieved his symptoms.

Intramural esophageal bronchogenic cyst.

ANTECEDENTES: Los quistes broncogénicos esofágicos son sacos cerrados originados de brotes anormales del tubo -traqueobronquial primitivo. Estas lesiones suelen ser asintomáticas, por lo que pueden hallarse incidentalmente o pueden causar síntomas por compresión de estructuras adyacentes. Son lesiones muy poco comunes; se han publicado unos 23 casos en adultos. CASO CLÍNICO: Presentamos el caso de un varón de 44 años con un cuadro de tos de larga duración, sin otro síntoma. Para descartar las causas más comunes de sus síntomas se realizan estudios que objetivan la presencia de una lesión intramural de 40 × 43 mm. Se realiza videotoracoscopia para su resección y estudio, resultando ser un quiste broncogénico. BACKGROUND: Bronchogenic cysts are close sacks originated from abnormal development of the tracheobronchial tree. These lesions are usually asymptomatic or can cause symptoms, by compression of adjacent structures. This pathology is so unusual that there are only about 23 cases published in adults. CASE REPORT: We report a case of a 44 year-old man with persistent cough, without other symptom. The most common causes for his symptoms were ruled out, so imaging studies were made, showing at the medial portion of the esophagus, located intramural a 40 × 43 mm ovoid lesion. Resected by video-assisted thoracoscopy for its study. With findings attributable to bronchogenic cyst.

[Neck bronchogenic cyst. Case report and review of the literature]. / Quiste broncogénico en cuello. Reporte de un caso y revisión de la bibliografía.

BACKGROUND: Bronchogenic cyst is a malformation of the ventral portion of the intestine, which is limited by bronchial epithelium and produces alterations in the development of the tracheobronchial tree. They may be single or multiple, and are usually confined to one lung or to the mediastinum, rarely to the neck, which is a subcutaneous tissue. OBJECTIVE: The case of a 9 year old girl is reported, who presented with a clinical picture characterized by a slow-growing, asymptomatic tumour on the left side of the neck of 4 years onset. Chest X-ray, neck ultrasound and computed tomography of the neck and chest ruled out any other injury. A complete resection was performed, and the histopathological study confirmed the diagnosis of bronchogenic cyst. CONCLUSION: The symptomatology of a bronchogenic cyst is due to the compression of the vascular, digestive or air structures, as well as its size, infection and location. The treatment of choice is a surgical resection, even when asymptomatic.

Quiste broncogénico (a propósito de un caso) / Bronchogenic cyst (a propos of a case)

Antecedentes: los quistes broncogénicos son una malformación congénita del árbol bronquial que a menudo son asintomáticos. Frecuentemente se manifiestan como un hallazgo radiológico. Objetivo: presentar un caso de quiste broncogénico sintomático en un adulto, tratado quirúrgicamente en nuestro hospital. Se hacen consideraciones etiológicas y clínico-quirúrgicas. Lugar de aplicación: Servicio de Cirugía General, Hospital Interzonal General de Agudos Presidente Perón, Avellaneda. Material y métodos: se presenta un paciente de sexo femenino de 42 años de edad, intervenido quirúrgicamente en nuestro hospital. Se utilizan para la recolección de datos la historia clínica, estudios de imágenes (radiografía de tórax, TAC de tórax, RMN de tórax) y los protocolos quirúrgicos. Resultados: se expone el tratamiento quirúrgico, los controles postoperatorios, la mejoría de la función, la desaparición de los síntomas. Conclusiones: si bien, generalmente son asintomáticos, y en los adultos se presentan como hallazgos radiológicos, en ciertos casos por su localización pueden dar origen a importantes síntomas funcionales y respiratorios, por lo cual se sugiere tratamiento quirúrgico una vez realizado el diagnóstico, ya que las cirugías de las complicaciones revelan mayor dificultad y resultados ominosos