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We hereby report a case on bronchogenic cyst which is initially non-infected, then becomes infected after bronchoscopic ultrasound (US)-guided transesophageal fine-needle aspiration (FNA). The non-infected bronchogenic cyst appears to be filled with relatively echogenic materials on US, and the aspirate is a whitish jelly-like fluid. Upon contrast-enhanced MRI of the infected bronchogenic cyst, a T1-weighted image shows low signal intensity and a T2-weighted image shows high signal intensity, with no enhancements of the cyst contents, but enhancements of the thickened cystic wall. The patient then undergo video-assisted thoracic surgery 14 days after the FNA. The cystic mass is known to be completely removed, and the aspirate is yellowish and purulent. To understand the image findings that pertain to the gross appearance of the cyst contents will help to diagnose bronchogenic cysts in the future.
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http://dx.doi.org/10.4046/trd.2014.76.2.88 | DOI Listing |
Front Pediatr
August 2025
Department of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Objective: To investigate the clinical features, imaging manifestations, pathological types, and surgical strategies of mediastinal masses in children with this condition, aiming to enhance early diagnosis and perioperative management.
Methods: Clinical data of children diagnosed with mediastinal masses and treated at the Affiliated Hospital of Zunyi Medical University between January 2019 and August 2024 were retrospectively reviewed. Key variables analyzed included demographic characteristics, clinical presentation, imaging findings, surgical procedures, intraoperative management, pathological results, and follow-up outcomes.
Surg Case Rep
August 2025
First Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Introduction: Bronchogenic cysts are congenital, benign cystic lesions that develop in the mediastinum. Many patients are asymptomatic, and conservative observation is often chosen in clinical practice. However, delayed surgical resection following cyst enlargement and compression of the adjacent membranous portion of the trachea can result in perioperative challenges.
View Article and Find Full Text PDFBronchogenic cysts are rare congenital lesions, typically identified in childhood but occasionally found in adults as incidental findings on imaging. In oncology patients, these lesions can present a diagnostic challenge due to their potential to mimic metastatic disease. We report a case of a 78-year-old woman undergoing routine surveillance for Stage II colorectal cancer who was found to have a paratracheal cystic lesion suspicious for malignancy.
View Article and Find Full Text PDFMedicine (Baltimore)
August 2025
Department of Thoracic Surgery, Hebei Children's Hospital Affiliated to Hebei Medical University, Shijiazhuang, Hebei, PR China.
This study explores the clinical efficacy of perioperative application of fiberoptic bronchoscopy (FB) combined with thoracoscopic minimally invasive surgery for mediastinal bronchogenic cysts in children. A retrospective analysis was conducted on 48 pediatric patients with mediastinal tumors who were admitted to our hospital from January 2015 to December 2023. Postoperative pathological results confirmed the diagnosis of bronchogenic cysts.
View Article and Find Full Text PDFCureus
August 2025
Radiology, Democritus University of Thrace/University General Hospital of Alexandroupolis, Alexandroupolis, GRC.
Lung ultrasound (LUS) is an increasingly valuable diagnostic modality for evaluating respiratory disorders in neonates and infants due to its rapid execution, ease of use, and, most importantly, absence of ionizing radiation. The sensitivity, cost-effectiveness, and clinical efficiency of LUS make it a key tool in supporting clinical decision-making and improving patient management. LUS demonstrates high diagnostic accuracy for identifying lung lesions in both infants and children, particularly lesions abutting the pleura.
View Article and Find Full Text PDF