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Dong D, Chen A, Liu A. Imaging features of bronchogenic cyst of the stomach: A case report with literature review. Medicine (Baltimore) 2025; 104:e41338. [PMID: 39889159 PMCID: PMC11789860 DOI: 10.1097/md.0000000000041338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2024] [Revised: 01/05/2025] [Accepted: 01/07/2025] [Indexed: 02/02/2025] Open
Abstract
RATIONALE Bronchogenic cyst (BC) is a congenital disease characterized by an anomaly of the foregut in the embryonic stage. Gastric BC is exceedingly rare and has never been accurately diagnosed prior to surgery; it is often misidentified as gastric stromal tumor, with the definitive diagnosis confirmed through postoperative specimens. Although gastric BC is considered a benign lesion, its prognosis remains uncertain, underscoring the importance of accurate preoperative identification. PATIENT CONCERNS The present study reported the case of a 64-year-old female who presented with 2 incidentally detected lesions of the gastric corpus and antrum. Computed tomography and magnetic resonance imaging showed cystic lesions with delayed enhancement of the cyst wall and no enhancement of the cyst contents. INTERVENTIONS AND DIAGNOSES The patient underwent a laparoscopic partial gastrectomy. BC was diagnosed by histopathology and immunohistochemistry after surgery. OUTCOMES The patient had an uneventful hospital course and was discharged on the eleventh postoperative day. No recurrence or metastasis was observed after 33 months. LESSONS BC of the stomach is mostly ovate in shape with well-defined margins. The cyst wall shows prolonged enhancement and calcification may occur at the edges. The density and signal of the cyst content varied with composition. These imaging features are helpful for differentiating diagnoses from other diseases.
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Affiliation(s)
- Deshuo Dong
- Department of Radiology, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, P.R. China
| | - Anliang Chen
- Department of Radiology, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, P.R. China
- Dalian Medical Imaging Artificial Intelligence Engineering Technology Research Center, Dalian, Liaoning, P.R. China
| | - Ailian Liu
- Department of Radiology, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, P.R. China
- Dalian Medical Imaging Artificial Intelligence Engineering Technology Research Center, Dalian, Liaoning, P.R. China
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Lu XR, Jiao XG, Sun QH, Li BW, Zhu QS, Zhu GX, Qu JJ. Young patient with a giant gastric bronchogenic cyst: A case report and review of literature. World J Clin Cases 2024; 12:2254-2262. [PMID: 38808345 PMCID: PMC11129127 DOI: 10.12998/wjcc.v12.i13.2254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2023] [Revised: 02/09/2024] [Accepted: 04/02/2024] [Indexed: 04/25/2024] Open
Abstract
BACKGROUND Gastric bronchogenic cysts (BCs) are extremely rare cystic masses caused by abnormal development of the respiratory system during the embryonic period. Gastric bronchial cysts are rare lesions that were first reported in 1956; as of 2023, only 33 cases are available in the PubMed online database. BCs usually have no clinical symptoms in the early stage, and imaging findings also lack specificity. Therefore, they are difficult to diagnose before histopathological examination. CASE SUMMARY A 34-year-old woman with respiratory distress presented at our hospital. Endoscopic ultrasound revealed an anechoic mass between the spleen, left kidney and gastric fundus, with hyperechogenic and soft elastography textures and with a size of approximately 6.5 cm × 4.0 cm. Furthermore, a computed tomography scan demonstrated high density between the posterior stomach and the spleen and the left kidney, with uniform internal density and a small amount of calcification. The maximum cross section was approximately 10.1 cm × 6.1 cm, and the possibility of a cyst was high. Because the imaging findings did not suggest a malignancy and because the patient required complete resection, she underwent laparotomy surgery. Intraoperatively, this cystic lesion was found to be located in the posterior wall of the large curvature of the fundus and was approximately 8 cm × 6 cm in size. Finally, the pathologists verified that the cyst in the fundus was a gastric BC. The patient recovered well, her symptoms of chest tightness disappeared, and the abdominal drain was removed on postoperative day 6, after which she was discharged on day 7 for 6 months of follow-up. She had no tumor recurrence or postoperative complications during the follow-up. CONCLUSION This is a valuable report as it describes an extremely rare case of gastric BC. Moreover, this was a very young patient with a large BC in the stomach.
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Affiliation(s)
- Xu-Ren Lu
- School of Clinical Medicine, Shandong Second Medical University, Weifang 261000, Shandong Province, China
- Department of Gastrointestinal Surgery Medical Center, The First Affiliated Hospital, Shandong Second Medical University, Weifang 261000, Shandong Province, China
| | - Xu-Guang Jiao
- Department of Gastrointestinal Surgery Medical Center, The First Affiliated Hospital, Shandong Second Medical University, Weifang 261000, Shandong Province, China
| | - Qi-Hang Sun
- School of Clinical Medicine, Shandong Second Medical University, Weifang 261000, Shandong Province, China
- Department of Gastrointestinal Surgery Medical Center, The First Affiliated Hospital, Shandong Second Medical University, Weifang 261000, Shandong Province, China
| | - Bo-Wen Li
- School of Clinical Medicine, Shandong Second Medical University, Weifang 261000, Shandong Province, China
- Department of Gastrointestinal Surgery Medical Center, The First Affiliated Hospital, Shandong Second Medical University, Weifang 261000, Shandong Province, China
| | - Qing-Shun Zhu
- Department of Gastrointestinal Surgery Medical Center, The First Affiliated Hospital, Shandong Second Medical University, Weifang 261000, Shandong Province, China
| | - Guang-Xu Zhu
- Department of Gastrointestinal Surgery Medical Center, The First Affiliated Hospital, Shandong Second Medical University, Weifang 261000, Shandong Province, China
| | - Jian-Jun Qu
- Department of Gastrointestinal Surgery Medical Center, The First Affiliated Hospital, Shandong Second Medical University, Weifang 261000, Shandong Province, China
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Lv X, Zhang M, Zhang T. A case of ectopic bronchogenic and enterogenous cysts over the gastric wall. Asian J Surg 2024; 47:1047-1048. [PMID: 37945402 DOI: 10.1016/j.asjsur.2023.10.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Accepted: 10/20/2023] [Indexed: 11/12/2023] Open
Affiliation(s)
- Xiaobo Lv
- Department of Radiology, Linfen Central Hospital, Linfen, Shanxi, 041000, China
| | - Meng Zhang
- Department of Radiology, Linfen Central Hospital, Linfen, Shanxi, 041000, China
| | - Tong Zhang
- Department of Radiology, Linfen Central Hospital, Linfen, Shanxi, 041000, China.
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Chen X, Hu D, Gao W, Wu Q, Qin X, Wang Z, Xu Y, Chen D, Li N, Weng G. Repeated misdiagnosis of small intestine bronchogenic cyst: a case report. Front Oncol 2024; 14:1259335. [PMID: 38322412 PMCID: PMC10844881 DOI: 10.3389/fonc.2024.1259335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2023] [Accepted: 01/02/2024] [Indexed: 02/08/2024] Open
Abstract
Bronchogenic cysts are uncommon congenital malformations of the respiratory system. These cysts can be categorized as intrapulmonary, mediastinal, or ectopic. Ectopic bronchogenic cysts, which lack distinctive clinical and imaging features, are particularly challenging to diagnose. This study presents a 48-year-old woman having a small intestinal bronchogenic cyst. She was repeatedly misdiagnosed as having an ovarian chocolate cyst or a cystic mass of bladder origin three years ago. However, no cyst was found during the operation. Half a year prior to presenting at our hospital, the patient developed frequent urination, prompting her to seek further treatment. We eventually discovered a cyst in the small intestine. The histological evaluation of the specimen showed a bronchogenic cyst. Small intestine bronchogenic cysts are extremely rare and easily misdiagnosed. It should be considered as one of the differential diagnoses of pelvic cysts. Particularly, when intraoperative exploration of the pelvic cavity fails to detect any cysts, consideration should be given to the possibility of small intestine bronchogenic cysts.
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Affiliation(s)
- Xiaodong Chen
- Department of Urology, Ningbo Urology and Nephrology Hospital, Ningbo, Zhejiang, China
| | - Danfei Hu
- Department of Radiation Therapy, Ningbo Medical Treatment Center Lihuili Hospital, Ningbo, Zhejiang, China
| | - Wenbo Gao
- Department of Urology, Ningbo Urology and Nephrology Hospital, Ningbo, Zhejiang, China
| | - Qihang Wu
- Department of Urology, Ningbo Urology and Nephrology Hospital, Ningbo, Zhejiang, China
| | - Xiangcheng Qin
- Department of Urology, Ningbo Urology and Nephrology Hospital, Ningbo, Zhejiang, China
| | - Zhichao Wang
- Department of Urology, Ningbo Urology and Nephrology Hospital, Ningbo, Zhejiang, China
| | - Yangkai Xu
- Department of Urology, Ningbo Urology and Nephrology Hospital, Ningbo, Zhejiang, China
| | - Dong Chen
- Department of Urology, Ningbo Urology and Nephrology Hospital, Ningbo, Zhejiang, China
| | - Nan Li
- Department of Urology, Ningbo Urology and Nephrology Hospital, Ningbo, Zhejiang, China
| | - Guobin Weng
- Department of Urology, Ningbo Urology and Nephrology Hospital, Ningbo, Zhejiang, China
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5
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Shang F, Xu Y, Jiao J, Lian C. Prone to misdiagnose the gastric bronchogenic cyst: A case report and literature review. Asian J Surg 2023; 46:5407-5408. [PMID: 37537061 DOI: 10.1016/j.asjsur.2023.07.109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 07/16/2023] [Indexed: 08/05/2023] Open
Affiliation(s)
- Fengjin Shang
- Department of General Surgery, Heping Hospital Affiliated to Changzhi Medical College, Changzhi, 046000, Shanxi province, China; School of Graduate, Changzhi Medical College, Changzhi, 046000, Shanxi province, China
| | - Yanjun Xu
- Department of General Surgery, Heping Hospital Affiliated to Changzhi Medical College, Changzhi, 046000, Shanxi province, China
| | - Jian Jiao
- Department of General Surgery, Heping Hospital Affiliated to Changzhi Medical College, Changzhi, 046000, Shanxi province, China; School of Graduate, Changzhi Medical College, Changzhi, 046000, Shanxi province, China
| | - Changhong Lian
- Department of General Surgery, Heping Hospital Affiliated to Changzhi Medical College, Changzhi, 046000, Shanxi province, China.
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Ortiz RJ, Reusmann A, Boglione MM, Giuseppucci C, Ruiz J, Pérez CM, Redondo EJ, Giubergia V, Barrenechea ME. Bronchogenic Cyst: Lessons Learned in 20 Years of Experience at a Tertiary Pediatric Center. J Pediatr Surg 2023; 58:2156-2159. [PMID: 37433699 DOI: 10.1016/j.jpedsurg.2023.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Revised: 06/09/2023] [Accepted: 06/14/2023] [Indexed: 07/13/2023]
Abstract
BACKGROUND Bronchogenic cysts are benign congenital malformations of the primitive ventral foregut. The aim of this study is to analyze and report 20 years of experience in the diagnosis and treatment of bronchogenic cysts at a tertiary pediatric center. METHODS A retrospective review was conducted of all patients diagnosed with a bronchogenic cyst between 2000-2020. Presence of symptoms, cyst location, surgical technique, postoperative complications, need for pleural drainage, and recurrence were reviewed. RESULTS Forty-five children were included in the study. In 37 patients a partial resection of the cyst was done, followed by cauterization or chemical obliterateration with iodopovidone of the mucosa of the remaining cyst wall that was adherent to the airway. A lobectomy was done in patients who had intrapulmonary cysts (n = 8). Cyst location was subcarinal in 23 (51.1%), paratracheal in 14 (31.1%), and intrapulmonary in eight patients (17.8%). The majority of subcarinal and paratracheal cysts (90%) were approached by thoracoscopy. Complications occurred in seven patients (15%): subcutaneous emphysema after pleural drain removal in one, extubation failure in two, reoperation due to bleeding in one, surgical site infection in one, bronchopleural fistula in one, and pneumothorax in one. Reoperation due to cyst recurrence was necessary in two patients (4.4%). Mean follow-up was 56 months (range, 0-115). CONCLUSION A minimally invasive approach is a safe option for the management of paratracheal and subcarinal bronchogenic cysts with no history of infection in specialized pediatric surgery center. Thoracoscopic partial resection is a feasible option in most patients with subcarinal and paratracheal bronchogenic cysts with a low complication and reoperation rate. LEVEL OF EVIDENCE IV.
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Affiliation(s)
- Ramiro Jorge Ortiz
- Pediatric Hospital Dr. Juan Garrahan, Pichincha 1890, C1245 CABA, Buenos Aires, Argentina.
| | - Aixa Reusmann
- Pediatric Hospital Dr. Juan Garrahan, Pichincha 1890, C1245 CABA, Buenos Aires, Argentina
| | | | - Carlos Giuseppucci
- Pediatric Hospital Dr. Juan Garrahan, Pichincha 1890, C1245 CABA, Buenos Aires, Argentina
| | - Javier Ruiz
- Pediatric Hospital Dr. Juan Garrahan, Pichincha 1890, C1245 CABA, Buenos Aires, Argentina
| | - Carolina María Pérez
- Pediatric Hospital Dr. Juan Garrahan, Pichincha 1890, C1245 CABA, Buenos Aires, Argentina
| | - Emiro José Redondo
- Pediatric Hospital Dr. Juan Garrahan, Pichincha 1890, C1245 CABA, Buenos Aires, Argentina
| | - Verónica Giubergia
- Pediatric Hospital Dr. Juan Garrahan, Pichincha 1890, C1245 CABA, Buenos Aires, Argentina
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Terayama M, Kumagai K, Kawachi H, Makuuchi R, Hayami M, Ida S, Ohashi M, Sano T, Nunobe S. Optimal resection of gastric bronchogenic cysts based on anatomical continuity with adherent gastric muscular layer: A case report. World J Gastrointest Surg 2023; 15:1216-1223. [PMID: 37405090 PMCID: PMC10315120 DOI: 10.4240/wjgs.v15.i6.1216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 01/14/2023] [Accepted: 04/19/2023] [Indexed: 06/15/2023] Open
Abstract
BACKGROUND Bronchogenic cysts are congenital lesions requiring radical resection because of malignant potential. However, a method for the optimal resection of these cysts has not been completely elucidated.
CASE SUMMARY Herein, we presented three patients with bronchogenic cysts that were located adjacent to the gastric wall and resected laparoscopically. The cysts were detected incidentally with no symptoms and the preoperative diagnosis was challenging to obtain via radiological examinations. Based on laparoscopic findings, the cyst was attached firmly to the gastric wall and the boundary between the gastric and cyst walls was difficult to identify. Consequently, resection of cysts alone caused cystic wall injury in Patient 1. Meanwhile, the cyst was resected completely along with a part of the gastric wall in Patient 2. Histopathological examination revealed the final diagnosis of bronchogenic cyst and revealed that the cyst wall shared the muscular layer with the gastric wall in Patients 1 and 2. In Patient 3, the cyst was located adjacent to the gastric wall but histopathologically originated from diaphragm rather than stomach. All the patients were free from recurrence.
CONCLUSION The findings of this study state that a safe and complete resection of bronchogenic cysts required the adherent gastric muscular layer or full-thickness dissection, if bronchogenic cysts are suspected via pre- and/or intraoperative findings.
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Affiliation(s)
- Masayoshi Terayama
- Department of Gastroenterological Surgery, Gastroenterological Center, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo 135-8550, Japan
| | - Koshi Kumagai
- Department of Gastroenterological Surgery, Gastroenterological Center, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo 135-8550, Japan
| | - Hiroshi Kawachi
- Department of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo 135-8550, Japan
| | - Rie Makuuchi
- Department of Gastroenterological Surgery, Gastroenterological Center, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo 135-8550, Japan
| | - Masaru Hayami
- Department of Gastroenterological Surgery, Gastroenterological Center, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo 135-8550, Japan
| | - Satoshi Ida
- Department of Gastroenterological Surgery, Gastroenterological Center, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo 135-8550, Japan
| | - Manabu Ohashi
- Department of Gastroenterological Surgery, Gastroenterological Center, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo 135-8550, Japan
| | - Takeshi Sano
- Department of Gastroenterological Surgery, Gastroenterological Center, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo 135-8550, Japan
| | - Souya Nunobe
- Department of Gastroenterological Surgery, Gastroenterological Center, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo 135-8550, Japan
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Bronchogenic cyst of stomach: A case report. Asian J Surg 2023:S1015-9584(23)00158-6. [PMID: 36805727 DOI: 10.1016/j.asjsur.2023.01.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 01/30/2023] [Indexed: 02/17/2023] Open
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9
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Choudhury MSR, Khan MYA, Shidham VB. Cytopathologic evaluation of a subcarinal lesion presenting as mass in a smoker. Cytojournal 2023; 20:1. [PMID: 36751554 PMCID: PMC9899454 DOI: 10.25259/cytojournal_33_2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 11/03/2022] [Indexed: 01/14/2023] Open
Affiliation(s)
- Moumita Saha Roy Choudhury
- Department of Pathology, Wayne State University, Detroit, Michigan, United States.,Corresponding author: Moumita Saha Roy Choudhury, Department of Pathology, Wayne State University, Detroit, Michigan, United States.
| | | | - Vinod B. Shidham
- Department of Pathology, Wayne State University, Detroit, Michigan, United States
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10
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Furak J, Rieth A, Ottlakan A, Nemeth T, Torday L, Tiszlavicz L, Lazar G. Adenocarcinoma arising from a foregut cyst of the diaphragm: importance of multimodality treatment: a case report. BMC Surg 2020; 20:332. [PMID: 33317482 PMCID: PMC7737302 DOI: 10.1186/s12893-020-01005-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Accepted: 12/08/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Benign foregut cysts usually develop in the thorax most of all in the mediastinum. Rare cases involving various abdominal organs, such as liver, stomach or pancreas have been previously published, mostly occurring in the retroperitoneum. CASE PRESENTATION We herein present an adenocarcinoma of a foregut cyst involving the left side of the diaphragm, left lower lobe of the lung, and left lobe of the liver, successfully removed through multivisceral resection. In between drug holidays, postoperative oncological treatment has been ongoing for nearly 4 years. In terms of chemotherapy, FOLFOX 4 regime, capacitabine monotherapy and later on next generation sequencing has been attempted, although the patient refused the later treatment option. Despite multimodality (combined surgical and oncological) treatment, local- and later on loco-regional recurrence has been detected on follow-up staging, influencing further chemotherapy regime. Taking both the fairly unknown type of the tumor and uncertain response rate to oncological therapy into account, prolonged tumor pace with fairly stable general patient state was reached throughout the course of the disease. CONCLUSION Through surgical tumor resection, and postoperative chemotherapy the patient managed to maintain an acceptable quality of life without major symptoms during ongoing treatment. During our own case, with multiple organ involvement, multivisceral resection, with multimodality treatment had considerable effect in prolonging the lifespan of the patient.
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Affiliation(s)
- Jozsef Furak
- Department of Surgery, Faculty of Medicine, University of Szeged, Semmelweis str. 8, Szeged, 6725, Hungary.
| | - Anna Rieth
- Department of Pediatric Surgery, Faculty of Medicine, University of Szeged, Koranyi alley 14-15, Szeged, 6725, Hungary
| | - Aurel Ottlakan
- Department of Surgery, Faculty of Medicine, University of Szeged, Semmelweis str. 8, Szeged, 6725, Hungary
| | - Tibor Nemeth
- Department of Surgery, Faculty of Medicine, University of Szeged, Semmelweis str. 8, Szeged, 6725, Hungary
| | - Laszlo Torday
- Department of Oncology, Faculty of Medicine, University of Szeged, Korányi alley 12, Szeged, 6720, Hungary
| | - Laszlo Tiszlavicz
- Department of Pathology, Faculty of Medicine, University of Szeged, Allomas str. 2, Szeged, 6725, Hungary
| | - Gyorgy Lazar
- Department of Surgery, Faculty of Medicine, University of Szeged, Semmelweis str. 8, Szeged, 6725, Hungary
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Sun B, Wang AK, Chen H, Qian BL, Yi XK, Jiang Y, Li Q, Fu WG, Li J. Bronchogenic cyst of the stomach: A case report and literature review. Exp Ther Med 2020; 20:166. [PMID: 33093904 PMCID: PMC7571367 DOI: 10.3892/etm.2020.9295] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Accepted: 08/19/2020] [Indexed: 01/27/2023] Open
Abstract
Bronchogenic cyst (BC) is a rare congenital disease with pre-embryonic intestinal malformation. BC of the stomach is rare. The present study reported on the case of a 68-year-old male who presented with a spleen and stomach space mass detected incidentally upon a routine health examination. The patient underwent laparotomy. Postoperative histopathological diagnosis confirmed BC of the stomach. Postoperative recovery was smooth and the patient is currently under follow-up. A literature review suggested that BC is a rare disease and the location of the stomach is very rare. Indications of surgical intervention remain controversial for asymptomatic cases. Owing to no specific clinical or radiologic features to define the disease profile for diagnosis, surgery may be a good choice for both diagnosis and therapy if the patient's condition permits.
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Affiliation(s)
- Bo Sun
- Department of Hepatobiliary Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China
| | - An-Kang Wang
- Department of Hepatobiliary Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China
| | - Hao Chen
- Department of Hepatobiliary Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China
| | - Bao-Lin Qian
- Department of Hepatobiliary Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China
| | - Xiao-Kang Yi
- Department of Hepatobiliary Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China
| | - Yu Jiang
- Department of Hepatobiliary Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China
| | - Qiu Li
- Department of Hepatobiliary Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China
| | - Wen-Guang Fu
- Department of Hepatobiliary Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China
| | - Jing Li
- Department of Hepatobiliary Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China
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12
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He WT, Deng JY, Liang H, Xiao JY, Cao FL. Bronchogenic cyst of the stomach: A case report. World J Clin Cases 2020; 8:1525-1531. [PMID: 32368546 PMCID: PMC7190944 DOI: 10.12998/wjcc.v8.i8.1525] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2019] [Revised: 03/27/2020] [Accepted: 04/10/2020] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Gastric bronchogenic cysts (BCs) are extremely rare cystic masses caused by abnormal development of the respiratory system during the embryonic period. Gastric bronchial cysts are rare lesions first reported in 1956; as of 2019, only 37 cases are available in the MEDLINE/PubMed online databases. BCs usually have no clinical symptoms in the early stage, and their imaging findings also lack specificity. Therefore, they are difficult to diagnose before histopathological examination. CASE SUMMARY A 55-year-old woman presented at our hospital with intermittent epigastric pain. She had a slightly high level of serum carbohydrate antigen 72-4 (CA 72-4). Endoscopic ultrasound found that a cystic mass originated from the submucosa of the posterior gastric wall near the cardia, indicating a diagnosis of cystic hygroma of the stomach. Furthermore, a computed tomography scan demonstrated a quasi-circular cystic mass closely related to the lesser curvature of the gastric fundus with a low density. Because the imaging examinations did not suggest a malignancy and the patient required complete resection, she underwent laparoscopic surgery. As an intraoperative finding, this cystic lesion was located in the posterior wall of the fundus and contained some yellow viscous liquid. Finally, the pathologists verified that the cyst in the fundus was a gastric BC. The patient recovered well with normal CA 72-4 levels, and her course was uneventful at 10 mo. CONCLUSION This is a valuable report as it describes an extremely rare case of gastric BC. Moreover, this is the first case of BC to present with elevated CA 72-4 levels.
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Affiliation(s)
- Wen-Ting He
- Department of Gastroenterology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, and Tianjin’s Clinical Research Center for Cancer, Tianjin 300060, China
| | - Jing-Yu Deng
- Department of Gastroenterology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, and Tianjin’s Clinical Research Center for Cancer, Tianjin 300060, China
| | - Han Liang
- Department of Gastroenterology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, and Tianjin’s Clinical Research Center for Cancer, Tianjin 300060, China
| | - Jian-Yu Xiao
- Department of Radiology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, and Tianjin’s Clinical Research Center for Cancer, Tianjin 300060, China
| | - Fu-Liang Cao
- Department of Endoscopy, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, and Tianjin’s Clinical Research Center for Cancer, Tianjin 300060, China
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13
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Ye L, Yang D, Qin X, Hu B. An abdominal bronchogenic cyst. GASTROENTEROLOGIA Y HEPATOLOGIA 2020; 43:140-141. [PMID: 31640910 DOI: 10.1016/j.gastrohep.2019.07.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Revised: 07/09/2019] [Accepted: 07/18/2019] [Indexed: 02/07/2023]
Affiliation(s)
- Liansong Ye
- Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Dan Yang
- Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Xiaobo Qin
- Department of Gastroenterology, Sichuan Provincial Disabled Revolutionary Armyman Hospital, Chengdu, China
| | - Bing Hu
- Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
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Chhaidar A, Ammar H, Abdessayed N, Azzaza M, Gupta R, Abdennaceur N, Bdioui A, Mokni M, Ali AB. Large bronchogenic cyst of stomach: A case report. Int J Surg Case Rep 2017; 34:126-129. [PMID: 28391172 PMCID: PMC5384289 DOI: 10.1016/j.ijscr.2017.03.021] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2017] [Revised: 03/15/2017] [Accepted: 03/16/2017] [Indexed: 02/07/2023] Open
Abstract
INTRODUCTION Bronchogenic cysts are congenital cysts arising as an abnormal budding from primitive tracheobronchial tree. They are lined by pseudostratified columnar or cuboidal ciliated epithelium and contain smooth muscle fibers, submucosal bronchial glands and/or cartilage. They are most frequently located in the mediastinum or the lung parenchyma. Intramural occurrence of bronchogenic cyst in the gastric wall is very rare. PRESENTATION OF CASE We present a case of 65-year-old lady with a 7×8cm lesion in the gastric cardia suspicious of gastrointestinal stromal tumor. Because of the large size, total gastrectomy with Roux-en-Y esophagojejunal anastomosis was performed. The postoperative course was uneventful. Histopathological examination revealed a sub-mucosal cyst lined by PCCE with presence of smooth muscle fibers and focal mucous glands. Final diagnosis of bronchogenic cyst was made. On the last follow up at one year, she was symptom free. DISCUSSION On extensive Medline/Pubmed search, only 38 cases of gastric bronchogenic cysts were found to be reported till date. They are typically located in the posterior gastric wall close to the gastric cardia. On radiological imaging, they appear as well defined intramural cystic lesion without any characteristic features. Surgical resection is considered in symptomatic cases or in case of diagnostic dilemma. CONCLUSION Gastric bronchogenic cysts often mimic gastrointestinal stromal tumor on preoperative imaging. They should be included in the differential diagnosis while dealing with an intramural gastric lesion close to the cardia or gastroesophageal junction.
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Affiliation(s)
- Amine Chhaidar
- Department of Surgery, Sahloul Hospital, Sousse, Tunisia.
| | - Houssem Ammar
- Department of Surgery, Monastir University Hospital, Monastir, Tunisia.
| | - Nihed Abdessayed
- Department of Pathology, Farhat Hached University Hospital, Sousse, Tunisia; Research Lab: Transfer in Technology in Anatomic Pathology (LR12SP08), Tunisia.
| | - Mohamed Azzaza
- Department of Surgery, Sahloul Hospital, Sousse, Tunisia.
| | - Rahul Gupta
- Department of HPB Surgery and Liver Transplantation, CARE Hospital, Hyderabad, India.
| | | | - Ahlem Bdioui
- Department of Pathology, Farhat Hached University Hospital, Sousse, Tunisia; Research Lab: Transfer in Technology in Anatomic Pathology (LR12SP08), Tunisia.
| | - Moncef Mokni
- Department of Pathology, Farhat Hached University Hospital, Sousse, Tunisia; Research Lab: Transfer in Technology in Anatomic Pathology (LR12SP08), Tunisia.
| | - Ali Ben Ali
- Department of Surgery, Sahloul Hospital, Sousse, Tunisia.
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Angeborene Lungenfehlbildungen. Monatsschr Kinderheilkd 2016. [DOI: 10.1007/s00112-016-0154-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Tonouchi A, Kinoshita T, Sunagawa H, Hamakawa T, Kaito A, Shibasaki H, Kuwata T, Seki Y, Nishida T. Bronchogenic cyst at esophagogastric junction treated by laparoscopic full-thickness resection and hand-sewn closure: a case report. Surg Case Rep 2016; 2:41. [PMID: 27117265 PMCID: PMC4848280 DOI: 10.1186/s40792-016-0168-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2016] [Accepted: 04/21/2016] [Indexed: 12/21/2022] Open
Abstract
Background We herein report a case of a bronchogenic cyst arising from the esophagogastric junction treated by laparoscopic full-thickness extirpation. The full-thickness defect was closed by hand sewing a T-shaped line over the gastroendoscope as a bougie to prevent postoperative deformity or stenosis. Partial fundoplication (Toupet fundoplication) was added to prevent reflux. Case presentation A 32-year-old woman with a body mass index of 43 kg/m2 was admitted for treatment of a cyst-forming submucosal tumor (60 mm in diameter) on the anterior wall of the esophagogastric junction, which was detected during screening endoscopy before bariatric surgery. The tumor was an extraluminal growing type but exhibited severe erosion at the mucosal site. A cystic tumor such as a duplication cyst, bronchogenic cyst, or cyst-forming gastrointestinal stromal tumor was suspected, and the abovementioned surgery was carried out. The postoperative course was uneventful. The pathological findings revealed the tumor to be a benign bronchogenic cyst. Endoscopic examination 3 months postoperatively showed no deformity or stenosis, and the patient complained of no reflux symptoms. Conclusion This procedure may be an efficient option for treatment of submucosal tumors on the esophagogastric junction to maintain function or avoid excessive surgery.
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Affiliation(s)
- Akiko Tonouchi
- Gastric Surgery Division, National Cancer Centre Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan
| | - Takahiro Kinoshita
- Gastric Surgery Division, National Cancer Centre Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.
| | - Hideki Sunagawa
- Gastric Surgery Division, National Cancer Centre Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan
| | - Takuya Hamakawa
- Gastric Surgery Division, National Cancer Centre Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan
| | - Akio Kaito
- Gastric Surgery Division, National Cancer Centre Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan
| | - Hidehito Shibasaki
- Gastric Surgery Division, National Cancer Centre Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan
| | - Takeshi Kuwata
- Pathological Division, National Cancer Centre Hospital East, Kashiwa, Japan
| | - Yosuke Seki
- Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo, Japan
| | - Toshirou Nishida
- Gastric Surgery Division, National Cancer Centre Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan
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TU CHAOYONG, ZHU JINGDE, SHAO CHUXIAO, MAO WEIBO, ZHOU XINGMU, LIN QIAOMEI, LI ZHUKAI, ZHANG JIE, ZHOU QINGYUE, CHEN WEI. Gastric bronchogenic cysts: A case report and literature review. Exp Ther Med 2016; 11:1265-1270. [PMID: 27073434 PMCID: PMC4812213 DOI: 10.3892/etm.2016.3067] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2014] [Accepted: 01/29/2016] [Indexed: 12/11/2022] Open
Abstract
Gastric bronchogenic cysts are rare lesions, first described in 1956, with only 34 cases reported in the literature to date. The present study described a case of bronchogenic cyst of the stomach in a 17-year-old female who presented with periodic epigastric pain. In addition, the study analyzed the existing literature on these lesions. Gastric bronchogenic cysts are more common in females (female:male ratio, 21:14) and the median age of their development is 43 years. In total, 48.57% of the 34 previously reported cases were identified incidentally, and the remainder presented mainly with epigastric pain. Cyst sizes varied between 1.7 and 15 cm. In 3 cases, preoperative diagnosis was performed using needle biopsy, whereas several studies were initially misdiagnosed as stromal tumors. In 85% of the cases (31/35), cyst resection was performed, with laparoscopy used in 4 of the cases. The findings of the present study and literature review suggested that bronchogenic cysts of the stomach are rare, and surgical resection is warranted to treat symptoms and prevent malignant transformation.
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Affiliation(s)
- CHAOYONG TU
- Department of General Surgery, Lishui Central Hospital, Lishui, Zhejiang 323000, P.R. China
| | - JINGDE ZHU
- Department of General Surgery, Lishui Central Hospital, Lishui, Zhejiang 323000, P.R. China
| | - CHUXIAO SHAO
- Department of General Surgery, Lishui Central Hospital, Lishui, Zhejiang 323000, P.R. China
| | - WEIBO MAO
- Department of Pathology, Lishui Central Hospital, Lishui, Zhejiang 323000, P.R. China
| | - XINGMU ZHOU
- Department of Pathology, Lishui Central Hospital, Lishui, Zhejiang 323000, P.R. China
| | - QIAOMEI LIN
- Department of General Surgery, Lishui Central Hospital, Lishui, Zhejiang 323000, P.R. China
| | - ZHUKAI LI
- Department of General Surgery, Lishui Central Hospital, Lishui, Zhejiang 323000, P.R. China
| | - JIE ZHANG
- Department of General Surgery, Lishui Central Hospital, Lishui, Zhejiang 323000, P.R. China
| | - QINGYUE ZHOU
- Department of General Surgery, Lishui Central Hospital, Lishui, Zhejiang 323000, P.R. China
| | - WEI CHEN
- Department of Hepatobiliary and Pancreatic Surgery, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, P.R. China
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Multiple Bronchogenic and Gastroenteric Cysts Arising from the Stomach in a Patient with Abdominal Pain. Case Rep Surg 2015; 2015:601491. [PMID: 26246929 PMCID: PMC4506807 DOI: 10.1155/2015/601491] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Accepted: 06/23/2015] [Indexed: 01/01/2023] Open
Abstract
Bronchogenic cysts arising from the stomach are uncommon. We discuss a young female patient with presumed enteric duplication cysts who was found to have three bronchogenic and gastroenteric cysts upon pathologic review. We discuss the pathophysiology of bronchogenic cysts and their malignant potential.
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Jiang JH, Yen SL, Lee SY, Chuang JH. Differences in the distribution and presentation of bronchogenic cysts between adults and children. J Pediatr Surg 2015; 50:399-401. [PMID: 25746696 DOI: 10.1016/j.jpedsurg.2014.06.008] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2014] [Revised: 06/12/2014] [Accepted: 06/13/2014] [Indexed: 12/13/2022]
Abstract
BACKGROUND Bronchogenic cysts are rare congenital malformations that occur in adults and children, with differences in distribution and presentation. METHODS The study population comprised 16 infants and children (aged 7 days to 18 years) and 23 adults (aged 20-78 years) who received pathological diagnoses of bronchogenic cysts over a 14-year period (1999-2012). Cyst distribution and presentation were reviewed. RESULTS Half (8/16) of the infants and children presented with palpable masses in the neck (n=6) or on the skin (n=2), and only one (12.5%) presented with symptoms of mild stridor. Another eight pediatric patients had mediastinal (n=7) or pulmonary (n=1) bronchogenic cysts, and respiratory symptoms were present in six (75%) patients. Thirteen of 23 (56.5%) adult patients had asymptomatic cysts (neck, n=1; mediastinum, n=11; lung, n=1). Symptomatic presentations occurred in 10/23 (43.5%) patients, including 2 with palpable mass in the neck, 3 in the mediastinum, 4 in the lung, and 1 in the retroperitoneum. Among the 13 asymptomatic patients, 6 were identified during regular health screening, 5 during routine chest computed tomographic surveys for cancer, and 2 incidentally found during thyroid and parathyroid surgery. Bronchogenic cysts tended to be larger in symptomatic than in asymptomatic adults. CONCLUSION The clinical spectra of bronchogenic cysts differ between adults and children and are closely related to cyst location and, probably, size.
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Affiliation(s)
- Jyun-Hong Jiang
- The Department of Pediatric Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
| | - Shao-Lun Yen
- The Department of Pathology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
| | - Shin-Yi Lee
- The Department of Pediatric Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
| | - Jiin-Haur Chuang
- The Department of Pediatric Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
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