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Updated: Jul 13, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Recurrent bronchogenic cyst 15 years after incomplete excision.
Tsuyoshi Hasegawa1, Fumio Murayama, Shunsuke Endo
1Division of General Thoracic Surgery, Department of Surgery, Jichi Medical School, 3311-1 Yakushiji, Minami-kawachi, Kawachi, Thochigi, Japan. tcvgo@jichi.ac.jp
Recurrent bronchogenic cysts can appear years after incomplete resection, presenting with symptoms like fever. Complete surgical excision is crucial for preventing recurrence of these rare congenital mediastinal anomalies.
Area of Science:
- Thoracic Surgery
- Congenital Anomalies
- Medical Case Reports
Background:
- Bronchogenic cysts are rare congenital anomalies originating from the respiratory system.
- Incomplete resection of mediastinal bronchogenic cysts can lead to late recurrences.
Purpose of the Study:
- To report a case of recurrent bronchogenic cyst after 15 years.
- To emphasize the importance of complete surgical excision for mediastinal bronchogenic cysts.
Main Methods:
- Case presentation of a 42-year-old male with recurrent symptoms.
- Literature review on bronchogenic cyst recurrence.
- Diagnostic imaging (MRI) and surgical intervention (thoracotomy).
Main Results:
- A recurrent bronchogenic cyst was identified 15 years post-initial resection.
- The patient presented with persistent fever unresponsive to antibiotics.
- Incomplete resection was identified as the cause of recurrence.
Conclusions:
- Complete surgical excision is the recommended treatment for bronchogenic cysts.
- Late recurrence of mediastinal bronchogenic cysts is possible following incomplete resection.
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