Wu LD, Wen K, Cheng ZR, Alwalid O, Han P. Retroperitoneal bronchogenic cyst in suprarenal region treated by laparoscopic resection: A case report. World J Clin Cases 2021; 9(24): 7245-7250 [PMID: 34540985 DOI: 10.12998/wjcc.v9.i24.7245]
Corresponding Author of This Article
Ping Han, MD, Full Professor, Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan 430000, Hubei Province, China. cjr.hanping@vip.163.com
Research Domain of This Article
Oncology
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. Aug 26, 2021; 9(24): 7245-7250 Published online Aug 26, 2021. doi: 10.12998/wjcc.v9.i24.7245
Retroperitoneal bronchogenic cyst in suprarenal region treated by laparoscopic resection: A case report
Lei-Di Wu, Kan Wen, Zi-Rui Cheng, Osamah Alwalid, Ping Han
Lei-Di Wu, Kan Wen, Osamah Alwalid, Ping Han, Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, Hubei Province, China
Zi-Rui Cheng, Department of Urology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, Hubei Province, China
Author contributions: Wu LD acquired the data, performed the literature review, and drafted, reviewed, and edited the manuscript; Wen K took radiological images and made the radiological diagnosis; Cheng ZR performed the surgery and contributed to manuscript editing and revising; Alwalid O revised the grammar of manuscript; Han P revised the manuscript for the important content; all authors have read and approved the manuscript.
Informed consent statement: Informed written consent was provided by the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript has been prepared and revised according to 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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ping Han, MD, Full Professor, Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan 430000, Hubei Province, China. cjr.hanping@vip.163.com
Received: April 20, 2021 Peer-review started: April 20, 2021 First decision: May 24, 2021 Revised: June 3, 2021 Accepted: July 2, 2021 Article in press: July 2, 2021 Published online: August 26, 2021
Abstract
BACKGROUND
Bronchogenic cysts (BCs) are benign congenital foregut malformations that are mostly present in the mediastinum and pulmonary parenchyma but rarely seen in the retroperitoneum.
CASE SUMMARY
We report the case of 17-year-old girl who complained of epigastric pain. A cystic lesion was found in the left suprarenal region on spectral computed tomography. The ovoid, well-defined, and homogeneous cystic lesion revealed slightly enhancement on conventional imaging but no enhancement on 40 KeV virtual mono-energetic images. The iodine density value of the lesion was 0.001 mg/mL and the Z-effective value was 7.25, which were close to those of fluid material in in vitro experiments. Magnetic resonance imaging revealed a cystic mass of intermediate signal intensity on T1-weighted imaging and high signal intensity on T2-weighted imaging. A laparoscopic surgery was carried out. Intraoperatively, a cystic lesion with a smooth surface was found in the left retroperitoneum. And the cystic wall was completely resected after intracystic fluid was suctioned. The histopathological examination findings of the lesion were compatible with BC. The patient recovered uneventfully without sighs of recurrence during a 10-mo follow-up period.
CONCLUSION
Radiological examinations play a significant role in the diagnosis of suprarenal BCs and spectral images offer additional spectral parameters. Accurate preoperative diagnoses of retroperitoneal BCs based on thorough imaging examinations are beneficial to the operation of laparoscopic resection.
Core Tip: Bronchogenic cysts (BCs) are benign congenital foregut malformations that are mostly present in the mediastinum and intrapulmonary but rarely seen in the retroperitoneum. We report a case of BC in the left suprarenal region which was diagnosed based on spectral computed tomography imaging and magnetic resonance imaging. After a laparoscopic surgery, the patient recovered uneventfully without sighs of recurrence during a 10-mo follow-up period.
