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Bronchogenic cyst at unusual location.

S M Tajdit Rahman¹, Md Morsedul Islam¹, Kazi Munzerin Akhter¹

¹Department of Thoracic Surgery, National Institute of Diseases of the Chest & Hospital, Dhaka, Bangladesh.

Respiratory Medicine Case Reports

|December 7, 2023

Summary

Rare thin-stalked mobile bronchogenic cysts can mimic lung lesions. This case highlights a challenging preoperative diagnosis in a 12-year-old boy, emphasizing the need for careful radiological assessment.

Keywords:

Bronchogenic cyst Pedunculated Rare

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Area of Science:

Thoracic Surgery
Pediatric Pulmonology
Surgical Pathology

Background:

Bronchogenic cysts arise from abnormal bronchial tree development.
Thin-stalked mobile bronchogenic cysts are uncommon and pose diagnostic challenges.
Radiological imaging can sometimes misdiagnose these cysts as intraparenchymal lung lesions.

Observation:

A 12-year-old boy presented with symptoms suggestive of a lung lesion.
Initial radiological evaluation indicated an intraparenchymal cystic lung lesion.
The cyst was noted to be thin-stalked and mobile.

Findings:

Surgical exploration via mini-thoracotomy revealed an elongated, mobile cyst.
The cyst originated from the right inferior pulmonary ligament.
Histopathological examination confirmed the diagnosis of a bronchogenic cyst.

Implications:

This case underscores the importance of considering rare presentations of bronchogenic cysts.
Accurate preoperative diagnosis of mobile bronchogenic cysts can be difficult.
Surgical intervention is crucial for definitive diagnosis and treatment of such lesions.