1/56. Mediastinal bronchogenic cyst manifesting as a catastrophic myocardial infarction.Congenital bronchogenic cysts of the lung and mediastinum develop from the ventral foregut during embryogenesis. These cysts are often incidental radiologic findings in adults, but patients can be seen with symptoms of chest pain, cough, dyspnea, or any combination of these. Acute presentations are unusual and have rarely been reported. We present the unique case of a 36-year-old man seen with an acute coronary syndrome and sudden hemodynamic collapse. The patient sustained a massive and ultimately fatal myocardial infarction, compression of the left main coronary artery by a bronchogenic cyst was demonstrated at postmortem examination. If detected, bronchogenic cysts should be surgically excised to limit associated morbidity and mortality.- - - - - - - - - - ranking = 1keywords = chest pain, chest (Clic here for more details about this article) |
2/56. Thoracoscopic excision with mini-thoracotomy for a bronchogenic cyst of the esophagus.A 19 year-old man with a history of dysphagia and chest pain was diagnosed as having a cyst of the esophagus by endoscopic ultrasonography and magnetic resonance imaging. The patient's bronchogenic cyst was treated by video-assisted thoracoscopic excision with mini-thoracotomy. This procedure is applicable for patients who require repair of the esophageal wall after excision of a lesion and reduces post-operative complications.- - - - - - - - - - ranking = 1keywords = chest pain, chest (Clic here for more details about this article) |
3/56. bronchogenic cyst appearing as a hepatic mass.Because bronchogenic cysts may be found in or near any organ derived from the embryonic foregut, they sometimes pose considerable diagnostic difficulties. We describe the plain chest X-ray, computed tomographic, and angiographic findings in a patient with elevated CA 19-9 and upper quadrant abdominal pain due to a cystic tumor appearing as a hepatic mass. Surgery and histology showed a bronchogenic cyst located in the lower lobe of the right lung.- - - - - - - - - - ranking = 0.32847971271848keywords = chest (Clic here for more details about this article) |
4/56. Paravertebral and diaphragmatic mass: an ectopic location of bronchogenic cyst.Bronchogenic cysts constitute one area of the broad spectrum of developmental anomalies of the primitive foregut. They arise from anomalous budding of the primitive tracheobronchial tube and are commonly located in the mediastinum or the lung parenchyma, closely related to the tracheobronchial tree. In rare cases, they can migrate to subpleural, pericardial, paravertebral and cervical locations, if embryological connections with their parent bronchus are lost. Plain chest radiography and computed tomography have been the primary imaging modalities used for diagnosis. Computed tomography is frequently associated with misleading information with respect to the cyst density. magnetic resonance imaging has been shown to be useful in the differential diagnosis of cystic mediastinal masses. We present a patient with two asymptomatic bronchogenic cysts found at a distance from the tracheobronchial tree.- - - - - - - - - - ranking = 0.32847971271848keywords = chest (Clic here for more details about this article) |
5/56. A fetal lung lesion consisting of bronchogenic cyst, bronchopulmonary sequestration, and congenital cystic adenomatoid malformation: the missing link?A fetus was found to have a large left thoracic cyst on routine prenatal ultrasound at 23 weeks of gestation. This lesion caused compression of the normal left lung tissue and contralateral mediastinal shift. At 23 weeks of gestation the cyst was percutaneously aspirated without subsequent reaccumulation of fluid. Serial ultrasounds showed decrease in the size of the cyst. The clinical diagnosis of congenital cystic adenomatoid malformation was made. At birth, the child had no respiratory distress, and a CT scan confirmed the finding of a fluid-filled cyst in the left chest. At the time of resection, a nonaerated extralobar bronchopulmonary sequestration (with a systemic arterial blood supply and separate pleural investment) was found. The dominant cyst had ciliated respiratory epithelium with cartilage, indicative of a bronchogenic cyst, and the remainder of the specimen had the histologic hallmarks of a congenital cystic adenomatoid malformation. The coexistence of three separate anomalies in one lesion suggests a common embryological link for these malformations.- - - - - - - - - - ranking = 0.32847971271848keywords = chest (Clic here for more details about this article) |
6/56. Local interstitial emphysema caused by meconium aspiration: report of one case.A neonate of meconium aspiration syndrome presented with respiratory distress and bilateral pneumothorax. The image studies, including chest X-ray, chest computed tomography and operation finding all showed cystic changes in the right lung. Therefore congenital cystic lesions of lung was the first impression. However, the pathologic report disclosed meconium aspiration with interstitial emphysema.- - - - - - - - - - ranking = 0.65695942543695keywords = chest (Clic here for more details about this article) |
7/56. Concurrent cysts of the mediastinum, pleura and neck.A 14-year-old male was found to have a mediastinal mass on chest radiograph. Chest computed tomography scans showed a cystic lesion behind the left main bronchus. magnetic resonance imaging revealed additional cystic lesions in the left chest and root of the neck. He underwent excision of mediastinal mass and a pleural cyst. The neck lesion was presumed to be a cystic hygroma. Histological examination of the two lesions resected showed them to be a foregut cyst and a benign mesothelial cyst. We know of no other report of concurrent multicystic lesions in the chest and neck and hypothesize that these cysts may have a common embryonic origin.- - - - - - - - - - ranking = 0.98543913815543keywords = chest (Clic here for more details about this article) |
8/56. A retroperitoneal bronchogenic cyst: a rare cause of a mass in the adrenal region.This report documents a bronchogenic cyst presenting as an adrenal tumour in a 51 year old man with persistent epigastric pain. The cyst is regarded as a developmental abnormality of the primitive foregut, which typically occurs in the chest. Subdiaphragmatic, and retroperitoneal locations in particular, are unusual. The differential diagnosis of a bronchogenic cyst in the retroperitoneum includes cystic teratoma, bronchopulmonary sequestration, cysts of urothelial and mullerian origin, and other foregut cysts.- - - - - - - - - - ranking = 0.32847971271848keywords = chest (Clic here for more details about this article) |
9/56. Imaging findings of intradiaphragmatic bronchogenic cyst: a case report.Isolated intradiaphragmatic bronchogenic cysts are extremely rare. Here, we report a case of intradiaphragmatic bronchogenic cyst with calcifications in a 34-year-old man presenting with no clinical symptoms. Imaging studies of the chest, including chest roentgenogram and computerized tomography (CT), revealed a left posterior mediastinal mass that abutted onto the left diaphragmatic crus with multiple calcifications and showed no enhancement after contrast administration on CT. The patient underwent surgical resection of the mass. Intradiaphragmatic bronchogenic cyst with calcifications was diagnosed by pathology. The patient was discharged 10 days after the operation, and no complication was found 3 months later at follow-up.- - - - - - - - - - ranking = 0.65695942543695keywords = chest (Clic here for more details about this article) |
10/56. Subcarinal bronchogenic cyst with high carbohydrate antigen 19-9 production.In a rare case of bronchogenic cyst with high carbohydrate antigen (CA) 19-9 production, a 57-year-old man with coughing and chest pain was diagnosed with a subcarinal mediastinal tumor. Fiberoptic bronchoscopy showed an erosive mucosal lesion overlying the area of extrinsic compression at the membranous of the right mainstem bronchus. serum carbohydrate antigen 19-9 was elevated at 1300 U/ml. thoracotomy showed an encapsulated cyst tightly adhering to the right main bronchus. The cyst was extirpated after ablation at the adherent cystic wall by electrocautery. Although intracystic carbohydrate antigen 19-9 concentration was very high, serum carbohydrate antigen 19-9 and bronchoscopic findings returned to normal postoperatively. The histological diagnosis was consistent with a bronchogenic cyst and carbohydrate antigen 19-9 could be immunohistochemically demonstrated within its epithelium.- - - - - - - - - - ranking = 1keywords = chest pain, chest (Clic here for more details about this article) |
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