J Korean Surg Soc.  2010 Aug;79(2):149-151. 10.4174/jkss.2010.79.2.149.

Intraperitoneal Bronchogenic Cyst Misidentified as Gastric Submucosal Tumor

• Kim HG
• Jeong MR
• Kang H
• Cheong O
• Ju JK
• Park YK
• Ryu SY
• Kim DY
• Kim YJ

• KMID: 2211986
• DOI: http://doi.org/10.4174/jkss.2010.79.2.149

Abstract

Most bronchogenic cysts originate in the mediastinum, while 15% to 20% occur in the lung parenchyma. According to the literature, most intrapulmonary cysts occur in the lower lobes. But, they are rarely located in an extrathoracic site, such as subdiaphragmatic retroperitoneal area. We describe a paraesophageal intra-abdominal bronchogenic cyst, first considered as gastric submucosal tumor. Resection was successfully realized by laparoscopy. A 20-year-old female was admitted to our hospital with incidentally detected gastric submucosal tumor. At operation, there was a 2.5x2 cm sized cystic tumor that was isolated from the gastric wall. We performed tumor resection laparoscopically. The postoperative course was uneventful and the patient was discharged on the second postoperative day. Histological examination reported a bronchogenic cyst. We, herein, report this case.

Keyword

Bronchogenic cyst; Laparoscopic surgery

MeSH Terms

Bronchogenic Cyst
Female
Humans
Laparoscopy
Lung
Mediastinum
Young Adult

Figure

• 

  Fig. 1 Abdomen CT, endoscopic gastroduodenoscopy (EGD) and endoscopic ultrasound (EUS) show submucosal tumors in gastric cardia.

• 

  Fig. 2 2.5×2 cm sized cystic tumor present in the lesser gastric curvature side.

• 

  Fig. 3 There is no esophageal or gastric serosal defects.

• 

  Fig. 4 A cyst lined with stratified epithelium and surrounded by smooth muscle cell (H&E stain, ×40).

Reference

1. Liang MK, Yee HT, Song JW, Marks JL. Subdiaphragmatic bronchogenic cysts: a comprehensive review of the literature. Am Surg. 2005. 71:1034–1041.

2. Sarper A, Ayten A, Golbasi I, Demircan A, Isin E. Bronchogenic cyst. Tex Heart Inst J. 2003. 30:105–108.

3. Cioffi U, Bonavina L, De Simone M, Santambrogio L, Pavoni G, Testori A, et al. Presentation and surgical management of bronchogenic and esophageal duplication cysts in adults. Chest. 1998. 113:1492–1496.

4. St-Georges R, Deslauriers J, Duranceau A, Vaillancourt R, Deschamps C, Beauchamp G, et al. Clinical spectrum of bronchogenic cysts of the mediastinum and lung in the adult. Ann Thorac Surg. 1991. 52:6–13.

5. Aktogu S, Yuncu G, Halilcolar H, Ermete S, Buduneli T. Bronchogenic cysts: clinicopathological presentation and treatment. Eur Respir J. 1996. 9:2017–2021.

6. Lim LL, Ho KY, Goh PM. Preoperative diagnosis of a paraesophageal bronchogenic cyst using endosonography. Ann Thorac Surg. 2002. 73:633–635.

7. MacFadyen BV Jr, Arregui ME, Eubanks S, Olsen DO, Peters JH, Soper NJ, et al. Laparoscopic Surgery of the Abdomen. 2004. New York: Springer.