Dong CJ, Yang RM, Wang QL, Wu QY, Yang DJ, Kong DC, Zhang P. Ectopic bronchogenic cyst of liver misdiagnosed as gallbladder diverticulum: A case report. World J Gastroenterol 2022; 28(33): 4920-4925 [PMID: 36156928 DOI: 10.3748/wjg.v28.i33.4920]
Corresponding Author of This Article
Ping Zhang, MD, Chief Doctor, Professor, Department of Hapatopancreatobiliary Surgery, The First Bethune Hospital of Jilin University, No. 71 Xinmin Street, Changchun 130021, Jilin Province, China. z_ping@jlu.edu.cn
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Cheng-Ji Dong, Qing-Yuan Wu, Da-Ji Yang, De-Cai Kong, Ping Zhang, Department of Hapatopancreatobiliary Surgery, The First Bethune Hospital of Jilin University, Changchun 130021, Jilin Province, China
Ru-Ming Yang, Department of Breast Surgery, The First Bethune Hospital of Jilin University, Changchun 130021, Jilin Province, China
Qi-Long Wang, Department of Vascular Surgery, The First Bethune Hospital of Jilin University, Changchun 130021, Jilin Province, China
Author contributions: Zhang P and Dong CJ performed the surgery, reviewed the literature, and contributed to manuscript drafting; Dong CJ, Yang RM, and Wang QL wrote the manuscript; Dong CJ, Wu QY, Yang DJ, and Kong DC were involved in the clinical management of the patient; all authors gave final approval for the submitted version of the manuscript.
Informed consent statement: Written, informed consent was obtained from the patient for publication of this report.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ping Zhang, MD, Chief Doctor, Professor, Department of Hapatopancreatobiliary Surgery, The First Bethune Hospital of Jilin University, No. 71 Xinmin Street, Changchun 130021, Jilin Province, China. z_ping@jlu.edu.cn
Received: March 17, 2022 Peer-review started: March 17, 2022 First decision: April 10, 2022 Revised: April 13, 2022 Accepted: August 16, 2022 Article in press: August 16, 2022 Published online: September 7, 2022 Processing time: 167 Days and 7.7 Hours
Abstract
BACKGROUND
Ectopic bronchogenic cysts are a type of congenital cystic tumor that are extremely difficult to diagnose and can be ectopically located in various organs, with the possibility of malignant transformation. Here we report a case of an ectopic bronchogenic cyst in the liver initially misdiagnosed as a gallbladder diverticulum.
CASE SUMMARY
The patient was a middle-aged woman whose chief complaint was intermittent pain in the upper abdomen. Imaging examination revealed a cystic space in the left inner lobe of the liver. She was admitted to our hospital for treatment. Based on abdominal examination and imaging findings, the initial diagnosis was gallbladder diverticulum with cholestasis combined with chronic cholecystitis. However, following intraoperative observations and postoperative pathologic assessment, the diagnosis was revised to ectopic bronchogenic cyst of the liver.
CONCLUSION
Radiologists, hepatobiliary and pancreatic surgeons, gastrointestinal surgeons, urologists, and even neurosurgeons should be aware and consider a possible diagnosis of ectopic bronchogenic cysts, especially when other types of cyst, cystadenoma, and other diseases are excluded. The disease and its complications should be detected and correctly diagnosed and treated as early as possible in order to avoid adverse outcomes.
Core Tip: Ectopic bronchogenic cysts are the rarest type of bronchogenic cyst and can be ectopically located in different organs. When various specialists diagnose cysts, cystadenomas, and other diseases, the possibility of ectopic bronchogenic cyst should not be discounted. We report a case of an ectopic bronchogenic cyst in the liver that was misdiagnosed as gallbladder diverticulum. Early surgical intervention is the most effective strategy to prevent disease transformation.
