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Mediastinal Bronchogenic Cyst

Bronchogenic Cyst of Mediastinum


Presentation

  • 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.[ncbi.nlm.nih.gov]
Collapse
  • We present the unique case of a 36-year-old man seen with an acute coronary syndrome and sudden hemodynamic collapse.[ncbi.nlm.nih.gov]
  • Chest films may show severe hyperaeration, areas of collapse, atelectasis of an entire lung, or a mediastinal mass.[nejm.org]
Respiratory Distress
  • Prenatal sonography showing abnormal findings is effective for identifying cysts in the perinatal period and allows for the timely resection of such cysts before respiratory distress occurs.[ncbi.nlm.nih.gov]
  • Abstract Of 10 infants with mediastinal bronchogenic cysts seven were in severe or moderate respiratory distress at admission. In none was the precise diagnosis of bronchogenic cyst made before operation.[nejm.org]
  • Because of respiratory distress, the cyst was removed surgically. Pathological examination revealed a bronchogenic cyst. Copyright COPYRIGHT: Cambridge University Press 1995 Corresponding author Dr. Marc M.[cambridge.org]
Mediastinal Disease
  • Mediastinal diseases are conditions that arise from tissues in this cavity.[utswmedicine.org]

Workup

Abnormal Chest CT Scan
  • Case 2 A 74-year-old woman was referred for an abnormal chest CT scan. She was asymptomatic, and the results of her physical examination were normal, except that she showed generalized weakness.[journals.lww.com]
Abnormal Chest CT Scan
  • Case 2 A 74-year-old woman was referred for an abnormal chest CT scan. She was asymptomatic, and the results of her physical examination were normal, except that she showed generalized weakness.[journals.lww.com]
Pleural Adhesions
  • The VATS approach for the diagnostic and therapeutic excision of a mediastinal tumor is easier and safer than an intrapleural approach if a patient has dense pleural adhesions.[ncbi.nlm.nih.gov]
  • According to some reported studies, the conversion rate from VATS to open thoracotomy was 8–35%, and the main reason was major pleural adhesion ( 4, 6, 14 ).[jtd.amegroups.com]

Treatment

  • Mediastinoscopy not only provides diagnostic information but can also be used safely in the treatment of anterior bronchogenic cysts in patients not amenable to a second operation.[ncbi.nlm.nih.gov]
  • , guidelines, discoveries in your fields of interest; be notified You are informed about innovative treatments, techniques and innovations in medicine This video is limited to doctors and other health professionals.[medtube.net]
  • Multidisciplinary contributions on medical treatment, radiation oncology, and surgery and anesthesia are included. Highlights include new material on minimally invasive procedures and thoroughly updated diagnostic and treatment information.[books.google.com]
  • For patients exhibiting symptoms, surgical resection is the preferred treatment modality ( 14 ).[jtd.amegroups.com]
  • Surgical treatment of 60 patients with pulmonary malformations: what have we learned?. J Bras Pneumol 2008; 34: 661-666 8 Kosar A, Tezel C, Orki A, Kiral H, Arman B. Bronchogenic cysts of the lung: report of 29 cases.[thieme-connect.com]

Prognosis

  • […] variable signal intensity, from low (similar to fluid) to high (due to protein content) fluid-fluid level has also been reported, attributed to layering of variable fluid content 4-5 T2: usually high signal intensity due to fluid content Treatment and prognosis[radiopaedia.org]
  • Talk to your doctor to get more accurate information about your prognosis.[healthline.com]
  • Sex Bronchogenic cysts are more common in males. [2] Age Antenatal diagnosis is made in over 60% of cases. [7] Prognosis Casagrande and Pederiiva conducted a systematic review of the association of congenital lung malformations and malignant lung tumors[emedicine.medscape.com]
  • Post-operative prognosis is exceptional [ 6, 15 ]. This was a unique case of a symptomatic bronchogenic cyst in a middle-aged female presenting with back pain. Seventy-five percent of patients with bronchogenic cysts are asymptomatic [ 13 ].[omicsonline.org]

Etiology

  • MBC may be involved in the etiology of pneumonia; therefore, bronchogenic cysts need to be resected as soon as possible.[surgicalcasereports.springeropen.com]
  • Multiple enhancing lesions in multiple compartments Enhancing masses The differential diagnosis of enhancing mediastinal masses is: Hyperenhancing lymph nodes Thyroid tissue Paragangliomas Hemangiomas Vascular Etiologies On the left multiple enhancing[radiologyassistant.nl]
  • They believed that thought the surrounding inflammation made it impossible either surgically or pathologically to establish the exact etiology of the fistula formation[ 6 ].[cardiothoracicsurgery.biomedcentral.com]

Epidemiology

  • Epidemiology Frequency United States Although rare, bronchogenic cysts are the second most common subtype of foregut cysts found in the middle mediastinum.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology Bronchogenic cysts occur within the spectrum of foregut duplication cysts and arise from abnormal ventral budding of the tracheobronchial tree. [4] Infants may present with respiratory distress secondary to compression of adjacent airway[emedicine.medscape.com]

Prevention

  • After repeat aspiration percutaneous instillation of bleomycin and alcohol has been used to prevent further increase in the size of the cyst.[ncbi.nlm.nih.gov]
  • Complete surgical resection is recommended for all bronchogenic cysts to establish diagnosis, alleviate symptoms, and prevent complications.[link.springer.com]
  • To prevent recurrence, all epithelial structures of the cyst wall must be removed.[ispub.com]
  • As a result, they recommend that complete resection should be done before the age of two to prevent infectious complications.[jtd.amegroups.com]
  • […] are the most common symptoms of bronchogenic cysts; however, serious complications such as SVC syndrome and arrhythmias have occurred as a result of extrinsic compression. 4,5 Bronchogenic cysts, even when asymptomatic, have been treated surgically to prevent[acgcasereports.gi.org]

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