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Isolate abdominal bronchogenic cyst: a case report
S Cetinkurşun1, H Oztürk, B Celasun
1Department of Pediatric Surgery, Gülhane Military Medical Academy, Ankara, Turkey.
Insights
Isolated abdominal bronchogenic cysts are rare, often asymptomatic, but can cause issues if infected or large. Surgical excision is recommended for diagnosis and symptom relief in pediatric cases.
Area of Science:
- Pediatric Surgery
- Congenital Abnormalities
- Diagnostic Imaging
Background:
- Bronchogenic cysts are rare congenital anomalies typically found in the thorax.
- Abdominal bronchogenic cysts are exceptionally rare, with limited pediatric case reports.
- These cysts can be asymptomatic or present with complications like infection or mass effect.
Observation:
- A 20-month-old female presented with recurrent urinary tract infections.
- An isolated abdominal bronchogenic cyst was identified as the underlying cause.
- This case represents one of the few documented pediatric instances of this condition.
Findings:
- The patient's recurrent urinary tract infections were attributed to the abdominal bronchogenic cyst.
- A literature review identified ten previously reported cases, with only four in pediatric patients.
- Surgical excision was performed for diagnosis and symptom resolution.
Implications:
- Abdominal bronchogenic cysts should be included in the differential diagnosis for pediatric retroperitoneal masses.
- Early diagnosis and surgical intervention are crucial for managing symptoms and preventing complications.
- Further research into the etiology and optimal management of pediatric abdominal bronchogenic cysts is warranted.
Abstract:
Isolated abdominal bronchogenic cysts are rare abnormalities. They are usually asymptomatic unless secondarily infected or large enough to cause compression of other vital structures. The authors report on a 20-month-old girl who had an abdominal bronchogenic cyst and presented with a history of recurrent urinary tract infections. The evaluation and treatment of this patient is presented as well as a review of the ten previously reported cases. A literature review showed only four cases in the pediatric age group. Excision is recommended to establish diagnosis and alleviate any symptoms. Abdominal bronchogenic cysts should be considered in the differential diagnosis of retroperitoneal masses.