Bronchogenic cyst of the lung mimicking a pulmonary hydatid cyst in a child
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George Vaos1, Nick Zavras, George Antypas
1Department of Paediatric Surgery, Penteli General Children's Hospital, 8 Hippocratous Str, 15236 P. Penteli, Athens, Greece. gvaos@hotmail.com
Insights
Infected lung bronchogenic cysts can mimic hydatid cysts. A pediatric case highlights the importance of pathology for accurate diagnosis of congenital lung abnormalities.
Area of Science:
- Pediatric Pulmonology
- Thoracic Surgery
- Diagnostic Pathology
Background:
- Congenital bronchogenic cysts are a common type of lung malformation.
- Infection can alter the clinical presentation of bronchogenic cysts, mimicking other conditions like hydatid cysts.
Observation:
- A 5-year-old girl presented with a symptomatic solitary right lower lobe mass.
- Initial clinical and radiological findings suggested a pulmonary hydatid cyst.
Findings:
- Surgical intervention (lobectomy) was performed.
- Post-operative pathological examination confirmed an infected congenital bronchogenic cyst.
Implications:
- Accurate differentiation between infected bronchogenic cysts and other lung pathologies is crucial for appropriate management.
- Pathological diagnosis remains essential for definitive characterization of congenital lung lesions.
Abstract:
Lung bronchogenic cyst may be infected and present with symptomatology and chest radiological findings compatible with an infected lung cyst, including pulmonary hydatid cyst. We describe a case of a 5-year-old girl with a symptomatic solitary mass in the right lower lobe that was initially treated as a hydatid cyst. Eventually, a lobectomy was performed, and a final diagnosis done on pathology showed an infected congenital bronchogenic cyst.
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