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Case Report
- Endoscopic Ultrasound Through-the-Needle Biopsy for the Diagnosis of an Abdominal Bronchogenic Cyst
- Jessica Cassiani, Stefano Francesco Crinò, Erminia Manfrin, Matteo Rivelli, Armando Gabbrielli, Alfredo Guglielmi, Corrado Pedrazzani
- Clin Endosc 2021;54(5):767-770. Published online February 17, 2021
- DOI: https://doi.org/10.5946/ce.2020.195
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Abstract
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ePub - A 57-year-old woman with epigastric pain was diagnosed with a 6-cm abdominal cystic lesion of unclear origin on cross-sectional imaging. Endoscopic ultrasound (EUS) demonstrated a unilocular cyst located between the pancreas, gastric wall, and left adrenal gland, with a regular wall filled with dense fluid with multiple hyperechoic floating spots. A 19-G needle was used to puncture the cyst, but no fluid could be aspirated. Therefore, EUS-guided through-the-needle biopsy (EUS-TTNB) was performed. Histological analysis of the retrieved fragments revealed a fibrous wall lined by “respiratory-type” epithelium with ciliated columnar cells, consistent with the diagnosis of a bronchogenic cyst. Laparoscopic excision was performed, and the diagnosis was confirmed based on the findings of the surgical specimen. Abdominal bronchogenic cysts are extremely uncommon, and a definitive diagnosis is commonly obtained after the examination of surgical specimens due to the lack of pathognomonic findings on cross-sectional imaging and poor cellularity on EUS-guided fine-needle aspiration cytology. EUS-TTNB is useful for establishing a preoperative histological diagnosis, thus supporting the decision-making process.
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Citations
Citations to this article as recorded by
- Optimal resection of gastric bronchogenic cysts based on anatomical continuity with adherent gastric muscular layer: A case report
Masayoshi Terayama, Koshi Kumagai, Hiroshi Kawachi, Rie Makuuchi, Masaru Hayami, Satoshi Ida, Manabu Ohashi, Takeshi Sano, Souya Nunobe
World Journal of Gastrointestinal Surgery.2023; 15(6): 1216. CrossRef - Retroperitoneal tumor finally diagnosed as a bronchogenic cyst: A case report and review of literature
Yang-Yang Gong, Xin Qian, Bo Liang, Ming-Dong Jiang, Jun Liu, Xing Tao, Jing Luo, Hong-Jian Liu, You-Gang Feng
World Journal of Clinical Cases.2022; 10(19): 6679. CrossRef - Endoscopic resection in the treatment of intramural esophageal bronchogenic cysts: A retrospective analysis of 17 cases
Jiao Jiao, Xiaofei Fan, Lili Luo, Zhongqing Zheng, Bangmao Wang, Wentian Liu
Digestive and Liver Disease.2022; 54(12): 1691. CrossRef - Subdiaphragmatic bronchogenic cysts: Case series and literature review
Jianchun Xiao, Xueyang Zhang, Hongru Zhou, Tao Hong, Binglu Li, Xiaodong He, Wei Liu
Frontiers in Medicine.2022;[Epub] CrossRef
- Optimal resection of gastric bronchogenic cysts based on anatomical continuity with adherent gastric muscular layer: A case report
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- A Case of an Esophageal Bronchogenic Cyst Presenting with Dysphagia
- Hee Jung Lee, M.D., Hee Seok Moon, M.D., Jae Kyu Sung, M.D., Hyun Yong Jeong, M.D., Hyun Jung Lee, M.D.* and Dae Young Kang, M.D.*
- Korean J Gastrointest Endosc 2009;39(3):154-157. Published online September 30, 2009
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Abstract
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- Bronchogenic cysts are rare congenital anomalies that are formed due to abnormal budding of the endodermal foregut during embryogenesis. These cysts are found at various sites because the location of the cyst depends on the embryological state of the abnormal budding. Submucosal tumors (SMTs) of the esophagus that originate from the submucosa or the intramural layer account for less than 1% of all esophageal neoplasms, and bronchial cysts of the esophagus usually present as a type of SMT or as external compression. We report here on an interesting case of bronchogenic cyst presenting with dysphagia in an adult. (Korean J Gastrointest Endosc 2009;39:154-157)
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