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Infected mediastinal bronchogenic cyst in a 12 year old girl

M Schweigert1, F Wolf, R J Stadlhuber

  • 1Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Klinikum Nürnberg Nord, Nürnberg, Germany. michael.schweigert@klinikum-nuernberg.de

The Thoracic and Cardiovascular Surgeon
|March 17, 2011
PubMed

Insights

This study presents a case of a large, infected mediastinal bronchogenic cyst in a pediatric patient. The cyst was successfully removed using a minimally invasive axillary muscle-sparing thoracotomy, offering a new approach for similar cases.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Congenital Malformations

Background:

  • Bronchogenic cysts are rare congenital anomalies originating from the primitive foregut.
  • They most commonly present with respiratory distress in pediatric patients.
  • Unilocular cysts are the predominant type.

Observation:

  • A 12-year-old girl presented with a massive infected mediastinal bronchogenic cyst.
  • The cyst caused significant symptoms requiring surgical intervention.
  • The patient's overall health status was otherwise stable prior to intervention.

Findings:

  • The infected mediastinal bronchogenic cyst was surgically resected.
  • An axillary muscle-sparing thoracotomy approach was utilized for the resection.
  • Histopathological examination confirmed the diagnosis of bronchogenic cyst.

Implications:

  • This case highlights the successful management of a large, infected mediastinal bronchogenic cyst in a pediatric patient.
  • Axillary muscle-sparing thoracotomy is a viable and effective surgical approach for such cases.
  • Minimally invasive techniques can lead to favorable outcomes in pediatric thoracic surgery.

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