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Congenital cervical bronchogenic cyst
1Department of ENT--Head and Neck Surgery, Manipal Teaching Hospital, PO Box 341, Phulbari, Pokhara 33701, Nepal. mth@mos.com.np
Insights
A rare congenital neck cyst, bronchogenic cyst, can be misdiagnosed as a branchial cyst. This case highlights characteristic findings for accurate pediatric diagnosis.
Area of Science:
- Pediatric Surgery
- Developmental Biology
- Pathology
Background:
- Bronchogenic cysts are rare congenital anomalies arising from abnormal budding of the primitive foregut.
- They are developmental aberrations primarily seen in the pediatric population.
- Over 50 cases have been documented in medical literature.
Observation:
- A 12-year-old female presented with a congenital neck swelling present since birth.
- The clinical presentation raised suspicion for a more common congenital neck cyst.
- Diagnostic workup was initiated to differentiate the swelling's etiology.
Findings:
- Characteristic clinical and histopathological findings led to the diagnosis of a bronchogenic cyst.
- Histopathology confirmed the presence of respiratory tissue, typical for bronchogenic cysts.
- The diagnosis was established despite the potential for misdiagnosis with other neck cysts.
Implications:
- Accurate and timely diagnosis of pediatric bronchogenic cysts is crucial.
- Distinguishing bronchogenic cysts from other congenital neck masses like branchial cysts prevents diagnostic delays.
- This case underscores the importance of considering rare developmental aberrations in pediatric neck swellings.
Abstract:
A bronchogenic cyst is a rare developmental aberration that occurs in the paediatric age group. Over 50 cases of bronchogenic cysts have been reported in the literature. There is still a possibility of clinically misdiagnosing this condition as a more common congenital neck cyst like a branchial cyst. We report here the case of a 12-year-old female presenting with a neck swelling since birth who was diagnosed to have a bronchogenic cyst based on characteristic clinical and histopathological findings.