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]
Respiratoric
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Mediastinal Disease
Mediastinal diseases are conditions that arise from tissues in this cavity. [utswmedicine.org]
Workup
CT
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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]
Pleura
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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]
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]
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]
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]
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]