Case report: Two rare new cases of diaphragmatic bronchogenic cysts

The bronchogenic cyst (BC) is a type of congenital anomaly that is most usually found in the mediastinum and lung, and rarely in the diaphragm. We report two cases of bronchogenic cysts originating from the left diaphragm. Case 1 involved a 50-year-old man who underwent computed tomography (CT) of t...

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Main Authors: Chao He, Hai-Xiang Yu, Zheng-Jia Liu, Cong Yin
Format: Article
Language:English
Published: Elsevier 2023-11-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023087534
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author Chao He
Hai-Xiang Yu
Zheng-Jia Liu
Cong Yin
author_facet Chao He
Hai-Xiang Yu
Zheng-Jia Liu
Cong Yin
author_sort Chao He
collection DOAJ
description The bronchogenic cyst (BC) is a type of congenital anomaly that is most usually found in the mediastinum and lung, and rarely in the diaphragm. We report two cases of bronchogenic cysts originating from the left diaphragm. Case 1 involved a 50-year-old man who underwent computed tomography (CT) of the adrenal glands for hypertension, showing left adrenal changes. An adrenal CT at our hospital showed a space-occupying lesion above the left diaphragm. We performed a left-sided thoracotomy in the seventh intercostal space and found that the mass was entirely located in the diaphragm. Case 2 was a 58-year-old woman who underwent chest CT under a standard health check-up, and a subpleural lesion of approximately 4 cm was found in the posterior basal segment of the left inferior lung lobe. During thoracoscopic surgery, the mass was found to originate from the surface of the diaphragm, having no correlation with the lung tissue. The two cases of diaphragmatic bronchogenic cysts were confirmed by surgical pathology. Ectopic bronchogenic cysts arising from the diaphragm are very uncommon, and diaphragmatic bronchogenic cysts typically occur on the left side, in women, and in the angle between the vertebral column and the diaphragm. As far as we know, there are no relevant reports of intradiaphragmatic BCs similar to case 1, which was entirely located within the diaphragm. Most diaphragmatic BCs are located on the surface of the diaphragm and project toward the thoracic or abdominal cavities. Moreover, bilocular diaphragmatic bronchogenic cysts, similar to case 2, have not yet been reported.
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spelling doaj.art-a17ee9f13d8f4b1697c6a9f6e31491922023-12-02T07:02:43ZengElsevierHeliyon2405-84402023-11-01911e21545Case report: Two rare new cases of diaphragmatic bronchogenic cystsChao He0Hai-Xiang Yu1Zheng-Jia Liu2Cong Yin3Department of Thoracic Surgery, China-Japan Union Hospital of Jilin University, Changchun, ChinaCorresponding author.; Department of Thoracic Surgery, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Thoracic Surgery, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Thoracic Surgery, China-Japan Union Hospital of Jilin University, Changchun, ChinaThe bronchogenic cyst (BC) is a type of congenital anomaly that is most usually found in the mediastinum and lung, and rarely in the diaphragm. We report two cases of bronchogenic cysts originating from the left diaphragm. Case 1 involved a 50-year-old man who underwent computed tomography (CT) of the adrenal glands for hypertension, showing left adrenal changes. An adrenal CT at our hospital showed a space-occupying lesion above the left diaphragm. We performed a left-sided thoracotomy in the seventh intercostal space and found that the mass was entirely located in the diaphragm. Case 2 was a 58-year-old woman who underwent chest CT under a standard health check-up, and a subpleural lesion of approximately 4 cm was found in the posterior basal segment of the left inferior lung lobe. During thoracoscopic surgery, the mass was found to originate from the surface of the diaphragm, having no correlation with the lung tissue. The two cases of diaphragmatic bronchogenic cysts were confirmed by surgical pathology. Ectopic bronchogenic cysts arising from the diaphragm are very uncommon, and diaphragmatic bronchogenic cysts typically occur on the left side, in women, and in the angle between the vertebral column and the diaphragm. As far as we know, there are no relevant reports of intradiaphragmatic BCs similar to case 1, which was entirely located within the diaphragm. Most diaphragmatic BCs are located on the surface of the diaphragm and project toward the thoracic or abdominal cavities. Moreover, bilocular diaphragmatic bronchogenic cysts, similar to case 2, have not yet been reported.http://www.sciencedirect.com/science/article/pii/S2405844023087534Bronchogenic cystLungDiaphragmComputed tomographyAdrenal glands
spellingShingle Chao He
Hai-Xiang Yu
Zheng-Jia Liu
Cong Yin
Case report: Two rare new cases of diaphragmatic bronchogenic cysts
Heliyon
Bronchogenic cyst
Lung
Diaphragm
Computed tomography
Adrenal glands
title Case report: Two rare new cases of diaphragmatic bronchogenic cysts
title_full Case report: Two rare new cases of diaphragmatic bronchogenic cysts
title_fullStr Case report: Two rare new cases of diaphragmatic bronchogenic cysts
title_full_unstemmed Case report: Two rare new cases of diaphragmatic bronchogenic cysts
title_short Case report: Two rare new cases of diaphragmatic bronchogenic cysts
title_sort case report two rare new cases of diaphragmatic bronchogenic cysts
topic Bronchogenic cyst
Lung
Diaphragm
Computed tomography
Adrenal glands
url http://www.sciencedirect.com/science/article/pii/S2405844023087534
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