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[Bronchogenic cysts of the mediastinum in childhood]
Insights
This study reviewed 46 pediatric bronchogenic cyst cases over 17 years. Surgical removal of these congenital airway anomalies led to complete patient recovery.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Congenital Anomalies
Background:
- Bronchogenic cysts are rare congenital anomalies arising from abnormal tracheobronchial tree development.
- These cysts can occur in the lung parenchyma or mediastinum.
- Understanding their presentation and management is crucial for pediatric surgical outcomes.
Purpose of the Study:
- To analyze the clinical presentation, diagnostic methods, and surgical outcomes of pediatric bronchogenic cysts.
- To evaluate the efficacy of surgical extirpation in treating these congenital anomalies.
Main Methods:
- Retrospective review of 46 pediatric patients treated for bronchogenic cysts between 1975 and 1991.
- Diagnostic modalities included conventional X-ray, esophagography, computed axial tomography, and echography.
- All patients underwent surgical cyst extirpation.
Main Results:
- Six mediastinal bronchogenic cysts were identified among the 46 cases.
- Symptoms included cough, dyspnea, and dysphagia; however, 3 cases were asymptomatic and incidentally discovered.
- All 46 children were successfully treated with surgery and discharged cured.
Conclusions:
- Surgical extirpation is an effective treatment for pediatric bronchogenic cysts, regardless of location.
- Early diagnosis and surgical intervention lead to favorable outcomes in children with these congenital airway malformations.
Abstract:
Bronchogenic cysts are rare congenital anomalies result of abnormal development of the tracheobronchial tree. They develop in the lung parenchyma or in the mediastinum. For a period of 17 years (1975-1991) a total of 46 children with bronchogenic cysts have been treated; in 6 the cysts were localized in the mediastinum. Two patients were one-year-old, 3 were in the age group 1 to 3 years and 1 was older than 3 years. Four patients were boys and 2 girls. Two children had hacking cough and attacks of dyspnea; one had swallowing difficulties. In 3 children the disease produced no symptoms and was detected on examination for pneumonia (1 child) and acute upper respiratory tract infection (2 children). All children had conventional X-ray; 5 had esophagography as well, 4--computer axial tomography, 3--echography. All children were operated (total extirpation of the cyst) and left the hospital cured.