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Updated: Jun 2, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
[Bronchogenic cyst in the abdomen--a case report]
Takashi Kizu1, Tsutomu Nishida, Shusaku Tsutsui
1Department of Gastroenterology and Hepatology, Osaka University, Graduate School of Medicine, and Department of Internal Medicine, Kansai Rosai Hospital. t.kizu@gh.med.osaka-u.ac.jp
Summary
A rare abdominal bronchogenic cyst, originating from the gastric wall, was diagnosed in a man presenting with epigastric pain. This case highlights the importance of considering ectopic origins for such thoracic malformations.
Area of Science:
- Gastroenterology
- Pathology
- Surgical Oncology
Background:
- Bronchogenic cysts are congenital malformations typically found in the thoracic or mediastinal regions.
- Ectopic presentations of bronchogenic cysts in the abdomen are exceptionally rare, posing diagnostic challenges.
Observation:
- A cystic lesion, 7 cm in diameter, was identified in the upper abdomen, posterior to the stomach.
- Endoscopic ultrasonography revealed the lesion's wall was continuous with the proper muscle layer of the gastric wall, suggesting gastric duplication.
Findings:
- Surgical resection and histopathological examination confirmed the cystic lesion was a bronchogenic cyst.
- Microscopic analysis revealed characteristic components including columnar ciliated epithelium, seromucous glands, smooth muscle, and cartilage.
Implications:
- This case underscores the need for a broad differential diagnosis in abdominal cystic lesions, including rare ectopic congenital anomalies.
- Accurate diagnosis and surgical management are crucial for these rare abdominal manifestations of bronchogenic cysts, especially given the potential for malignancy.
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