Lu XR, Jiao XG, Sun QH, Li BW, Zhu QS, Zhu GX, Qu JJ. Young patient with a giant gastric bronchogenic cyst: A case report and review of literature. World J Clin Cases 2024; 12(13): 2254-2262 [PMID: 38808345 DOI: 10.12998/wjcc.v12.i13.2254]
Corresponding Author of This Article
Jian-Jun Qu, Doctor, Chief Doctor, Department of Gastrointestinal Surgery Medical Center, The First Affiliated Hospital, Shandong Second Medical University, No. 151 Guangwen Street, Kuiwen District, Weifang 261000, Shandong Province, China. 1035123330@qq.com
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/
Xu-Ren Lu, Qi-Hang Sun, Bo-Wen Li, School of Clinical Medicine, Shandong Second Medical University, Weifang 261000, Shandong Province, China
Xu-Ren Lu, Xu-Guang Jiao, Qi-Hang Sun, Bo-Wen Li, Qing-Shun Zhu, Guang-Xu Zhu, Jian-Jun Qu, Department of Gastrointestinal Surgery Medical Center, The First Affiliated Hospital, Shandong Second Medical University, Weifang 261000, Shandong Province, China
Author contributions: Qu JJ was responsible for the overall project progress, paper revision and submission; Lu XR and Jiao XG contributed to manuscript writing and editing and data collection; Sun QH and Zhu QS contributed to the data analysis; Li BW and Zhu GX contributed to the conceptualization and supervision. All the authors read and approved the final manuscript.
Supported byWeifang Municipal Health Commission Scientific Research Project, No. WFWSHKK-2021-028; and Shandong Province Medical Health Science and Technology Project, No. 202304010544.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to disclose.
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: Jian-Jun Qu, Doctor, Chief Doctor, Department of Gastrointestinal Surgery Medical Center, The First Affiliated Hospital, Shandong Second Medical University, No. 151 Guangwen Street, Kuiwen District, Weifang 261000, Shandong Province, China. 1035123330@qq.com
Received: December 17, 2023 Revised: February 9, 2024 Accepted: April 2, 2024 Published online: May 6, 2024 Processing time: 129 Days and 16.8 Hours
Abstract
BACKGROUND
Gastric bronchogenic cysts (BCs) are extremely rare cystic masses caused by abnormal development of the respiratory system during the embryonic period. Gastric bronchial cysts are rare lesions that were first reported in 1956; as of 2023, only 33 cases are available in the PubMed online database. BCs usually have no clinical symptoms in the early stage, and imaging findings also lack specificity. Therefore, they are difficult to diagnose before histopathological examination.
CASE SUMMARY
A 34-year-old woman with respiratory distress presented at our hospital. Endoscopic ultrasound revealed an anechoic mass between the spleen, left kidney and gastric fundus, with hyperechogenic and soft elastography textures and with a size of approximately 6.5 cm × 4.0 cm. Furthermore, a computed tomography scan demonstrated high density between the posterior stomach and the spleen and the left kidney, with uniform internal density and a small amount of calcification. The maximum cross section was approximately 10.1 cm × 6.1 cm, and the possibility of a cyst was high. Because the imaging findings did not suggest a malignancy and because the patient required complete resection, she underwent laparotomy surgery. Intraoperatively, this cystic lesion was found to be located in the posterior wall of the large curvature of the fundus and was approximately 8 cm × 6 cm in size. Finally, the pathologists verified that the cyst in the fundus was a gastric BC. The patient recovered well, her symptoms of chest tightness disappeared, and the abdominal drain was removed on postoperative day 6, after which she was discharged on day 7 for 6 months of follow-up. She had no tumor recurrence or postoperative complications during the follow-up.
CONCLUSION
This is a valuable report as it describes an extremely rare case of gastric BC. Moreover, this was a very young patient with a large BC in the stomach.
Core Tip: Gastric bronchogenic cysts (BCs) represent uncommon congenital anomalies, often manifesting as indistinct cystic formations on preoperative evaluations. Herein, we document a noteworthy instance of a sizable gastric BC occurring in a young female patient. The definitive diagnosis of gastric BC was established through histopathological examination following laparotomy resection. The analysis of the reported cases revealed that gastric BC often mimics gastrointestinal stromal tumors on preoperative imaging. We recommend elective radical surgical resection for young patients with large cysts, as they might progress to malignancies.
