Bronchogenic cyst with atypical imaging findings and repeated ruptures in a short period of time: A case report
Bronchogenic cysts are the most common primary cysts of the mediastinum. Although most are asymptomatic, some bronchogenic cysts cause symptoms such as chest pain and dyspnea. Here, we report a case of bronchogenic cyst that ruptured twice in a short period of time in a patient who presented with su...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322006446 |
| _version_ | 1817999295374163968 |
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| author | Mika Matsushita, MD Osamu Honda, MD, PhD Masasuke Kohzai, MD Kotaro Minami, MD Shintaro Yamamoto, MD Kenichi Ueda, MD Haruaki Hino, MD Tomohiro Murakawa, MD Asako Okabe, MD, PhD Noboru Tanigawa, MD, PhD |
| author_facet | Mika Matsushita, MD Osamu Honda, MD, PhD Masasuke Kohzai, MD Kotaro Minami, MD Shintaro Yamamoto, MD Kenichi Ueda, MD Haruaki Hino, MD Tomohiro Murakawa, MD Asako Okabe, MD, PhD Noboru Tanigawa, MD, PhD |
| author_sort | Mika Matsushita, MD |
| collection | DOAJ |
| description | Bronchogenic cysts are the most common primary cysts of the mediastinum. Although most are asymptomatic, some bronchogenic cysts cause symptoms such as chest pain and dyspnea. Here, we report a case of bronchogenic cyst that ruptured twice in a short period of time in a patient who presented with sudden back pain. The lesion was apparent on computed tomography (CT) as a mass lesion with heterogeneous and high attenuation in the posterior mediastinal region. CT-guided puncture performed for diagnostic purposes revealed the contents as bloody fluid. The patient suffered chest pain approximately 3 months after the first presentation, and re-growth and re-rupture of the mass was suspected. The lesion was surgically resected and pathologically diagnosed as a bronchogenic cyst. Spontaneous rupture is a very rare complication of bronchogenic cyst, usually into the trachea, pleural cavity, or pericardial cavity. However, there are no reports of multiple ruptures. This case highlights the importance of recognizing the atypical imaging findings of bronchogenic cyst and the rare complication of rupture. |
| first_indexed | 2024-04-14T03:05:50Z |
| format | Article |
| id | doaj.art-3a814a680334456c8effc15af8b8c5e1 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-14T03:05:50Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-3a814a680334456c8effc15af8b8c5e12022-12-22T02:15:43ZengElsevierRadiology Case Reports1930-04332022-10-01171039333937Bronchogenic cyst with atypical imaging findings and repeated ruptures in a short period of time: A case reportMika Matsushita, MD0Osamu Honda, MD, PhD1Masasuke Kohzai, MD2Kotaro Minami, MD3Shintaro Yamamoto, MD4Kenichi Ueda, MD5Haruaki Hino, MD6Tomohiro Murakawa, MD7Asako Okabe, MD, PhD8Noboru Tanigawa, MD, PhD9Department of Radiology, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010, Japan; Corresponding author.Department of Radiology, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010, JapanDepartment of Radiology, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010, JapanDepartment of Radiology, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010, JapanDepartment of Radiology, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010, JapanDepartment of Radiology, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010, JapanDepartment of Thoracic Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010, JapanDepartment of Thoracic Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010, JapanDepartment of Pathology, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010, JapanDepartment of Radiology, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010, JapanBronchogenic cysts are the most common primary cysts of the mediastinum. Although most are asymptomatic, some bronchogenic cysts cause symptoms such as chest pain and dyspnea. Here, we report a case of bronchogenic cyst that ruptured twice in a short period of time in a patient who presented with sudden back pain. The lesion was apparent on computed tomography (CT) as a mass lesion with heterogeneous and high attenuation in the posterior mediastinal region. CT-guided puncture performed for diagnostic purposes revealed the contents as bloody fluid. The patient suffered chest pain approximately 3 months after the first presentation, and re-growth and re-rupture of the mass was suspected. The lesion was surgically resected and pathologically diagnosed as a bronchogenic cyst. Spontaneous rupture is a very rare complication of bronchogenic cyst, usually into the trachea, pleural cavity, or pericardial cavity. However, there are no reports of multiple ruptures. This case highlights the importance of recognizing the atypical imaging findings of bronchogenic cyst and the rare complication of rupture.http://www.sciencedirect.com/science/article/pii/S1930043322006446Bronchogenic cystRuptureMediastinal cystBack painChest pain |
| spellingShingle | Mika Matsushita, MD Osamu Honda, MD, PhD Masasuke Kohzai, MD Kotaro Minami, MD Shintaro Yamamoto, MD Kenichi Ueda, MD Haruaki Hino, MD Tomohiro Murakawa, MD Asako Okabe, MD, PhD Noboru Tanigawa, MD, PhD Bronchogenic cyst with atypical imaging findings and repeated ruptures in a short period of time: A case report Radiology Case Reports Bronchogenic cyst Rupture Mediastinal cyst Back pain Chest pain |
| title | Bronchogenic cyst with atypical imaging findings and repeated ruptures in a short period of time: A case report |
| title_full | Bronchogenic cyst with atypical imaging findings and repeated ruptures in a short period of time: A case report |
| title_fullStr | Bronchogenic cyst with atypical imaging findings and repeated ruptures in a short period of time: A case report |
| title_full_unstemmed | Bronchogenic cyst with atypical imaging findings and repeated ruptures in a short period of time: A case report |
| title_short | Bronchogenic cyst with atypical imaging findings and repeated ruptures in a short period of time: A case report |
| title_sort | bronchogenic cyst with atypical imaging findings and repeated ruptures in a short period of time a case report |
| topic | Bronchogenic cyst Rupture Mediastinal cyst Back pain Chest pain |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322006446 |
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