Published online Dec 6, 2022. doi: 10.12998/wjcc.v10.i34.12671
Peer-review started: July 12, 2022
First decision: August 21, 2022
Revised: August 29, 2022
Accepted: October 12, 2022
Article in press: October 12, 2022
Published online: December 6, 2022
Processing time: 143 Days and 0.6 Hours
Bronchogenic cysts are cystic masses caused by congenital abnormal development of the respiratory system, and usually occur in the pulmonary parenchyma or mediastinum.
A rare case of a bronchogenic cyst discovered in the abdominal cavity of a 35-year-old man is reported. Physical examination found a space-occupying lesion in the patient’s abdomen for 4 d. Laparoscopic exploration found the cyst tightly adhered to the stomach and its peripheral blood vessels; therefore, intraoperative laparotomy was performed. The cystic mass was resected en bloc with an Endo-GIA stapler. The final postoperative pathological diagnosis confirmed an abdo
This is a rare case of a bronchogenic cyst that was discovered within the abdominal cavity of a male patient. The cyst is easily confused with or misdiagnosed as other lesions. Therefore, it is necessary to distinguish abdominal bronchogenic cyst from gastrointestinal stromal tumor, Meckel’s diverticulum, enteric duplication cyst, or lymphangioma. Although computer tomography and magnetic resonance imaging were the primary diagnostic approaches, endoscopic ultrasound-guided fine-needle aspiration could assist with clarification of the cytological or histopathological diagnosis before surgery.
Core tip: This case report proposes endoscopic ultrasound-guided fine-needle aspiration as an applicable and more reliable method for preoperative diagnosis of abdominal bronchogenic cyst. This method is important preoperatively for surgeons because it helps to confirm the source of the tumor tissue and identifies whether the tumor is benign or malignant. More importantly, it provides surgeons with a better option for a more secure and feasible surgical treatment.