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Bronchogenic cyst in the intradiaphragmatic location
Subramanian Subramanian1, Tushar Chandra2, Jill Whitehouse3
1Department of Radiology, Children's Hospital of Wisconsin and Medical College of Wisconsin, Milwaukee 53226, USA. ssubramanian@chw.org
WMJ : Official Publication of the State Medical Society of Wisconsin
|February 12, 2014
Summary
Bronchogenic cysts, rare congenital malformations, can occur within the diaphragm. This case highlights imaging findings of an intradiaphragmatic bronchogenic cyst in a child presenting with chest pain.
Area of Science:
- Pediatric Radiology
- Congenital Malformations
- Thoracic Surgery
Background:
- Bronchogenic cysts are congenital foregut malformations arising from abnormal budding during embryologic development.
- Typically lined by ciliated columnar epithelium with cartilage and smooth muscle in the wall.
- Commonly found in the mediastinum, lung, or pleural spaces.
Observation:
- Intradiaphragmatic location of bronchogenic cysts is exceptionally rare in medical literature.
- A pediatric patient presented with left-sided chest pain, indicative of a potential thoracic abnormality.
- Imaging studies revealed a mass in the diaphragmatic region.
Findings:
- Computed tomography (CT) and magnetic resonance imaging (MRI) were utilized to characterize the intradiaphragmatic mass.
- The imaging findings were consistent with a bronchogenic cyst in an unusual location.
- The cyst's unique intradiaphragmatic position presented diagnostic challenges.
Implications:
- This case expands the known anatomical locations for bronchogenic cysts.
- Highlights the importance of considering rare diagnoses in pediatric chest pain evaluations.
- Emphasizes the utility of advanced imaging (CT/MRI) in diagnosing complex congenital anomalies.
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