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Mediastinal bronchogenic cyst compressing left recurrent laryngeal nerve
Hakeem Zubair Ashraf1, Abdul Ghani Ahangar, Ghulam Nabi Lone
1Department of CVTS, SKIMS, Soura, Srinagar, Kashmir, India.
Asian Cardiovascular & Thoracic Annals
|February 27, 2014
Summary
A rare case of recurrent laryngeal nerve compression caused by a bronchogenic cyst in a 15-year-old boy led to choking. Surgical excision of the cyst resolved the symptoms, confirming the diagnosis through histopathology.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Neurology
Background:
- Recurrent laryngeal nerve compression is a rare cause of airway obstruction.
- Bronchogenic cysts are congenital lung malformations that can lead to various clinical presentations.
- Compression of the recurrent laryngeal nerve by mediastinal masses is uncommon.
Observation:
- A 15-year-old male presented with intermittent choking episodes.
- The patient experienced periods of normal voice and occasional choking.
- Clinical examination suggested extrinsic compression affecting the left recurrent laryngeal nerve.
Findings:
- A bronchogenic cyst was identified as the cause of recurrent laryngeal nerve compression.
- Surgical excision via left posterolateral thoracotomy successfully removed the cyst.
- Histopathological examination confirmed the cyst as bronchogenic in origin.
Implications:
- This case highlights an unusual etiology for recurrent laryngeal nerve palsy and airway compromise in adolescents.
- Surgical intervention is effective in managing symptomatic bronchogenic cysts causing neural compression.
- Early diagnosis and treatment are crucial to prevent long-term complications associated with airway obstruction.
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