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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
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[Diaphragmatic bronchogenic cyst: an exceptional location].
A Legras1, P Mordant1, L Gibault2
1Département chirurgie thoracique et transplantation pulmonaire, université Paris-Descartes, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
Revue De Pneumologie Clinique
|August 19, 2014
Summary
A rare intra-diaphragmatic bronchogenic cyst caused persistent symptoms in a 64-year-old man. Surgical resection was successful, highlighting the diagnostic challenges of primary diaphragmatic tumors.
Area of Science:
- Thoracic Surgery
- Diagnostic Imaging
- Surgical Pathology
Background:
- Primary diaphragmatic tumors are exceptionally rare, posing diagnostic challenges.
- Intra-diaphragmatic bronchogenic cysts are an uncommon congenital anomaly.
Observation:
- A 64-year-old male presented with dyspnea and chest pain radiating to the shoulders.
- Imaging revealed a heterogeneous left diaphragmatic mass with specific MRI signal characteristics.
- Positron-emission tomography showed no hypermetabolism, complicating preoperative diagnosis.
Findings:
- Video-assisted thoracic surgery identified a tumor within the diaphragmatic muscle.
- Complete tumor resection was achieved, followed by diaphragm repair.
- Pathology confirmed an intra-diaphragmatic bronchogenic cyst, an exceedingly rare finding.
Implications:
- This case underscores the difficulty in preoperative diagnosis of primary diaphragmatic masses.
- Embryologic origins and molecular pathways (FGF-10, NOTCH) are discussed for bronchogenic cysts.
- Successful surgical management highlights the importance of thoracic surgery for these rare conditions.
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