Li C, Zhang XW, Zhao CA, Liu M. Abdominal bronchogenic cyst: A rare case report. World J Clin Cases 2022; 10(34): 12671-12677 [PMID: 36579087 DOI: 10.12998/wjcc.v10.i34.12671]
Corresponding Author of This Article
Min Liu, BMed, Doctor, Department of General Surgery, Xi’an Gaoxin Hospital, No. 16 Tuanjie South Road, High-tech District, Xi'an 710075, Shaanxi Province, China. liumin20220622@163.com
Research Domain of This Article
Respiratory System
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/
World J Clin Cases. Dec 6, 2022; 10(34): 12671-12677 Published online Dec 6, 2022. doi: 10.12998/wjcc.v10.i34.12671
Abdominal bronchogenic cyst: A rare case report
Chao Li, Xin-Wei Zhang, Chang-An Zhao, Min Liu
Chao Li, School of Public Health, Xi’an Jiaotong University, Xi’an 710061, Shaanxi Province, China
Chao Li, Min Liu, Department of General Surgery, Xi’an Gaoxin Hospital, Xi'an 710075, Shaanxi Province, China
Xin-Wei Zhang, Department of Thoracic Surgery, Shaanxi Provincial Cancer Hospital, Xi’an 710061, Shaanxi Province, China
Chang-An Zhao, Department of Pathology, School of Basic Medical Science, Xi’an Jiaotong University, Xi’an 710061, Shaanxi Province, China
Author contributions: Liu M provided revision suggestions; Li C finished the literature review, collected the data and wrote the manuscript; Zhang XW contributed to the redaction of this manuscript and proof reading; Zhao CA reviewed the pathological examination; all authors have read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient and her family member for publication of this case report and accompanying images.
Conflict-of-interest statement: The authors declare that they have no competing interests.
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: Min Liu, BMed, Doctor, Department of General Surgery, Xi’an Gaoxin Hospital, No. 16 Tuanjie South Road, High-tech District, Xi'an 710075, Shaanxi Province, China. liumin20220622@163.com
Received: July 12, 2022 Peer-review started: July 12, 2022 First decision: August 21, 2022 Revised: August 29, 2022 Accepted: October 12, 2022 Article in press: October 12, 2022 Published online: December 6, 2022
Abstract
BACKGROUND
Bronchogenic cysts are cystic masses caused by congenital abnormal development of the respiratory system, and usually occur in the pulmonary parenchyma or mediastinum.
CASE SUMMARY
A rare case of a bronchogenic cyst discovered in the abdominal cavity of a 35-year-old man is reported. Physical examination found a space-occupying lesion in the patient’s abdomen for 4 d. Laparoscopic exploration found the cyst tightly adhered to the stomach and its peripheral blood vessels; therefore, intraoperative laparotomy was performed. The cystic mass was resected en bloc with an Endo-GIA stapler. The final postoperative pathological diagnosis confirmed an abdominal bronchogenic cyst.
CONCLUSION
This is a rare case of a bronchogenic cyst that was discovered within the abdominal cavity of a male patient. The cyst is easily confused with or misdiagnosed as other lesions. Therefore, it is necessary to distinguish abdominal bronchogenic cyst from gastrointestinal stromal tumor, Meckel’s diverticulum, enteric duplication cyst, or lymphangioma. Although computer tomography and magnetic resonance imaging were the primary diagnostic approaches, endoscopic ultrasound-guided fine-needle aspiration could assist with clarification of the cytological or histopathological diagnosis before surgery.
Core tip: This case report proposes endoscopic ultrasound-guided fine-needle aspiration as an applicable and more reliable method for preoperative diagnosis of abdominal bronchogenic cyst. This method is important preoperatively for surgeons because it helps to confirm the source of the tumor tissue and identifies whether the tumor is benign or malignant. More importantly, it provides surgeons with a better option for a more secure and feasible surgical treatment.
