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©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
Retroperitoneal bronchogenic cyst: A case report and review of literature
Abdul Malik, Qais Ahmad Naseer, Muhammad Asad Iqbal, Shi-Ya Han, Sheng-Chun Dang
Abdul Malik, Qais Ahmad Naseer, Muhammad Asad Iqbal, Sheng-Chun Dang, Department of General Surgery, The Affiliated Hospital of Jiangsu University, Zhenjiang 212001, Jiangsu Province, China
Abdul Malik, Department of Preventive Medicine and Public Health Laboratory Science, School of Medicine, Jiangsu University, Zhenjiang 212013, Jiangsu Province, China
Qais Ahmad Naseer, Department of Laboratory Medicine, School of Medicine, Jiangsu University, Zhenjiang 212013, Jiangsu Province, China
Shi-Ya Han, Department of Clinical Pharmacy, Shenyang Pharmaceutical University, Shenyang 110000, Liaoning Province, China
Sheng-Chun Dang, Department of Surgery, Siyang Hospital, Suqian 223700, Jiangsu Province, China
Co-first authors: Abdul Malik and Qais Ahmad Naseer.
Author contributions: Malik A and Naseer QA contributed equally to this work as co-first authors; Malik A, Naseer QA, Iqbal MA and Han SY were responsible for the data collection and manuscript composition; Dang SC played a pivotal role in critically revising the manuscript for important intellectual content, ensuring the accuracy and integrity of the work. All authors reviewed and endorsed the final manuscript.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: Sheng-Chun Dang, MD, Chief Doctor, Professor, Surgeon, Department of General Surgery, The Affiliated Hospital of Jiangsu University, No. 438 Jiefang Road, Zhenjiang 212001, Jiangsu Province, China. dscgu@163.com
Received: November 26, 2023
Revised: February 28, 2024
Accepted: April 7, 2024
Published online: May 26, 2024
BACKGROUND
Bronchogenic cysts are rare developmental anomalies that belong to the category of congenital enterogenous cysts. They arise from lung buds and are present at birth. The embryonic foregut is their origin. Typically, they are located within the chest cavity, particularly in the cavum mediastinale of the thoracic cavity or lodged in the pulmonary parenchyma, and are considered a type of lung bud malformation.
CASE SUMMARY
A 49-year-old male patient was admitted to the hospital due to the detection of a retroperitoneal mass during a physical examination. Two weeks before admission, the patient underwent a physical examination and routine laboratory tests, which revealed a space-occupying mass in the retroperitoneal region. The patient did not report any symptoms (such as abdominal pain, flatulence, nausea, vomiting, high fever, or chills). The computed tomography (CT) revealed a retroperitoneal space-occupying lesion with minimal enhancement and a CT value of approximately 36 Hounsfield units. The lesion was not delineated from the boundary of the pancreatic body and was closely related to the retroperitoneum locally.
CONCLUSION
Following a series of tests, an abdominal mass was identified, prompting the implementation of a laparoscopic retroperitoneal mass excision procedure. During the investigation, an 8 cm × 7 cm cystic round-shaped mass with a distinct demarcation was identified in the upper posterior region of the pancreas. Subsequently, full resection of the mass was performed. Postoperative pathological examination reveled a cystic mass characterized by a smooth inner wall. The cystic mass was found to contain a white, viscous liquid within its capsule.
Core Tip: A 49-year-old male with no significant medical or family history was diagnosed with a retroperitoneal mass during a routine physical examination, despite showing no typical symptoms. The absence of common diseases such as hypertension or diabetes in his medical history, with normal physical examination and laboratory results, highlighted the unusual nature of this case. The mass, detected incidentally, underscoreds the importance of routine health checks in identifying potentially serious conditions in asymptomatic patients. This case emphasizes the critical role of comprehensive evaluations and the need for surgical intervention in managing unexpected findings, demonstrating the value of caution in routine medical examinations.
