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Updated: Jun 22, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Intraabdominal bronchogenic cyst.
Rafael Díaz Nieto1, Alvaro Naranjo Torres, Manuel Gómez Alvarez
1Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Reina Sofía, Avd Menéndez Pidal, Córdoba, Spain. rafadiaznieto@hotmail.com
This case report highlights an extremely rare subdiaphragmatic bronchogenic cyst, a congenital respiratory tract anomaly. Surgical extirpation, particularly via laparoscopy, is recommended for this rare pathology.
Area of Science:
- Medical Science
- Surgical Pathology
- Embryology
Background:
- Bronchogenic cysts are congenital respiratory tract anomalies arising from abnormal embryological development.
- Typically presenting as mediastinal masses in children, they are rare in adults and often diagnosed incidentally.
- Subdiaphragmatic bronchogenic cysts are exceptionally rare, with most reported cases appearing as retroperitoneal lesions.
Observation:
- A patient presented with a paraesophageal cystic mass initially suspected to be an esophageal duplication cyst.
- Histopathological examination confirmed the mass as a bronchogenic cyst.
- This diagnosis was unusual due to the subdiaphragmatic location of the cyst.
Findings:
- The case details an extremely rare instance of a subdiaphragmatic bronchogenic cyst.
- Histopathology is crucial for definitive diagnosis, distinguishing it from other cystic masses.
- Literature review indicates surgical extirpation as the primary treatment for bronchogenic cysts.
Implications:
- Laparoscopic surgery offers a feasible and safe approach for treating bronchogenic cysts.
- Early diagnosis and surgical intervention can prevent potential complications associated with these cysts.
- This case expands the understanding of the varied presentations of bronchogenic cysts.
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