Limits...
Retroperitoneal bronchogenic cyst: a case report.

Mirsadeghi A, Farrokhi F, Fazli-Shahri A, Gholipour B - Med J Islam Repub Iran (2014)

Bottom Line: Bronchogenic cysts are among developmental disorders of the primitive foregut which are typically found above the diaphragm.Bronchial cysts discovered in the abdominal cavity or retroperitoneum are extremely rare.We present a rare case of a retroperitoneal bronchogenic cyst which was incidentally detected after a wrestling injury in a 23-year-old man who had a negative medical history.

View Article: PubMed Central - HTML - PubMed

Affiliation: 1. MD, Assistant Professor of Surgery, Department of Surgery Medicine, 22 Bahman Hospital, Mashhad Islamic Azad University, Mashhad, Iran. a.mirsadeghi@yahoo.com.

ABSTRACT
Bronchogenic cysts are among developmental disorders of the primitive foregut which are typically found above the diaphragm. Bronchial cysts discovered in the abdominal cavity or retroperitoneum are extremely rare. We present a rare case of a retroperitoneal bronchogenic cyst which was incidentally detected after a wrestling injury in a 23-year-old man who had a negative medical history. Although initial imaging studies suggested an adrenal tumor, histopathological analysis provided a definite diagnosis of bronchogenic cyst. Though rare, bronchogenic cysts must be considered in the differential diagnosis of retroperitoneal cystic lesions. This is the first case of a retroperitoneal bronchogenic cyst reported in Iran.

No MeSH data available.


Related in: MedlinePlus

© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4219886&req=5

Mentions: A 23-year-old man, who had been injured during a wrestling competition, was referred to our hospital with an abdominal pain. He had no significant past medical history. On physical examination, he was a thin young patient with stable vital signs. He had pain and mild tenderness in left upper quadrant region. Laboratory tests including complete blood counts, liver function test (LFT) and blood chemistry were normal. Anti-hydatic cyst antibody test was negative. Erythrocyte sedimentation rate (ESR) was high (62 mm/h) and culture for enterococcus was positive. Abdominal computed tomography scan revealed a complicated cystic lesion with dimensions of 118 x 130 mm between spleen and the left kidney and a compression effect into the kidney. The mass had septa and calcification in its inferior part. Using contrast enhancement, no abnormal vessel or enhancement was noted (Fig.1). Thus the patient underwent a semi-elective operation. During the operation, a huge cystic structure was discovered filled with thick, brownish secretions in retroperitoneal area. The cyst was about 20 x 20 x 20 cm in diameter and adjacent to spleen, adrenal gland and kidney. Postoperative course was uneventful; the patient was discharged on day 3, and had remained asymptomatic during the follow-up period of 4 years.


Retroperitoneal bronchogenic cyst: a case report.

Mirsadeghi A, Farrokhi F, Fazli-Shahri A, Gholipour B - Med J Islam Repub Iran (2014)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4219886&req=5

Mentions: A 23-year-old man, who had been injured during a wrestling competition, was referred to our hospital with an abdominal pain. He had no significant past medical history. On physical examination, he was a thin young patient with stable vital signs. He had pain and mild tenderness in left upper quadrant region. Laboratory tests including complete blood counts, liver function test (LFT) and blood chemistry were normal. Anti-hydatic cyst antibody test was negative. Erythrocyte sedimentation rate (ESR) was high (62 mm/h) and culture for enterococcus was positive. Abdominal computed tomography scan revealed a complicated cystic lesion with dimensions of 118 x 130 mm between spleen and the left kidney and a compression effect into the kidney. The mass had septa and calcification in its inferior part. Using contrast enhancement, no abnormal vessel or enhancement was noted (Fig.1). Thus the patient underwent a semi-elective operation. During the operation, a huge cystic structure was discovered filled with thick, brownish secretions in retroperitoneal area. The cyst was about 20 x 20 x 20 cm in diameter and adjacent to spleen, adrenal gland and kidney. Postoperative course was uneventful; the patient was discharged on day 3, and had remained asymptomatic during the follow-up period of 4 years.

Bottom Line: Bronchogenic cysts are among developmental disorders of the primitive foregut which are typically found above the diaphragm.Bronchial cysts discovered in the abdominal cavity or retroperitoneum are extremely rare.We present a rare case of a retroperitoneal bronchogenic cyst which was incidentally detected after a wrestling injury in a 23-year-old man who had a negative medical history.

View Article: PubMed Central - HTML - PubMed

Affiliation: 1. MD, Assistant Professor of Surgery, Department of Surgery Medicine, 22 Bahman Hospital, Mashhad Islamic Azad University, Mashhad, Iran. a.mirsadeghi@yahoo.com.

ABSTRACT
Bronchogenic cysts are among developmental disorders of the primitive foregut which are typically found above the diaphragm. Bronchial cysts discovered in the abdominal cavity or retroperitoneum are extremely rare. We present a rare case of a retroperitoneal bronchogenic cyst which was incidentally detected after a wrestling injury in a 23-year-old man who had a negative medical history. Although initial imaging studies suggested an adrenal tumor, histopathological analysis provided a definite diagnosis of bronchogenic cyst. Though rare, bronchogenic cysts must be considered in the differential diagnosis of retroperitoneal cystic lesions. This is the first case of a retroperitoneal bronchogenic cyst reported in Iran.

No MeSH data available.


Related in: MedlinePlus