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      A bronchogenic cyst masquerading as asthma: A case report

      case-report

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          Abstract

          Wheezing in infants and under-five children may present a diagnostic problem as there are various aetiologies for this symptom. Diagnosis of asthma is often made as it is one of the causes of wheezing in children. It is however important to have taken a complete history, including allergy and appropriate diagnostic investigations. If the child’s symptoms do not improve despite appropriate therapy, a different diagnosis must be pursued. We report the case of a child who presented to us with wheezing and who did not respond to therapy.

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          Differences in the distribution and presentation of bronchogenic cysts between adults and children

          Jyun-Hong Jiang, Shao‐Lun Yen, Shin-Yi Lee … (2015)
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            Bronchogenic cysts of the lung: report of 29 cases.

            Altug Kosar, Cagatay Tezel, Alpay Orki … (2009)
            Intrapulmonary bronchogenic cysts are congenital anomalies of the tracheobronchial tree and foregut. The aim of this retrospective study was to review the diagnosis, clinical and histological features, operative techniques, outcomes and follow-up of intrapulmonary bronchogenic cysts treated in a single institute. Twenty-nine patients with intrapulmonary bronchogenic cysts were treated surgically between 1990 and 2005. There were 17 female and 12 male patients and their ages ranged from 7 to 68 years. Patients were divided into two groups according to surgical procedure. Resection (lobectomy or wedge resection) was performed on Group I (n=18), and partial excision with de-epithelisation was performed on Group II (n=11). Twenty-five patients (86.2%) were symptomatic. Cough and sputum were the most common symptoms. Twenty-four of the 29 BCs were simple cysts (82.7%) whereas 5 (17.3%) were complicated cysts. Postoperative hospital stay was 4.55+/-0.86 days in group I and 6.54+/-3.34 days in group II (P=0.172). Complications in Group I were pneumonia in one case and wound infection in two cases; prolonged air leakage were observed in two cases of Group II. No statistical difference was determined between the complication rates of the two groups (P=0.91). However a significant difference was determined between the complication rates of simple and complicated cysts (P=0.026). Two cases in Group II showed recurrence, whereas no recurrence occurred in Group I. (P=0.065) No postoperative mortality was observed in any of the groups. All bronchogenic cysts should be treated surgically. We believe that partial excision with de-epithelisation may be an alternative to resection in symptomatic patients with limited respiratory capacity.
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              Bronchogenic cyst of the esophagus: clinical and imaging features of seven cases.

              Sheung-Fat Ko, Ming-Jang Hsieh, Jui-Wei Lin … (2024)
              Seven unusual cases of esophageal bronchogenic cyst (EBC) are presented. Different from mediastinal or pulmonary bronchogenic cysts, EBCs predominately affect young women (six out of seven cases; mean age, 29.9 years), and clinically, such cases were characterized by dysphagia and chest pain, especially during exercise. On radiographs and computed tomographs, EBCs typically appeared as 3- to 4-cm midthoracic cystic masses close abutting to the midthoracic esophagus. Rarely, exophytic lower thoracic EBC may mimic lung nodule. Total cyst excision usually offers satisfactory outcome with no recurrence in long-term follow-up.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Afr J Thorac Crit Care Med
                Journal ID (iso-abbrev): Afr J Thorac Crit Care Med
                Journal ID (publisher-id): AJTCCM
                Journal ID (publisher-id): PMCID
                Title: African Journal of Thoracic and Critical Care Medicine
                Publisher: South African Medical Association (Pretoria, South Africa )
                ISSN (Print): 2617-0191
                ISSN (Electronic): 2617-0205
                Publication date (Electronic): 21 June 2018
                Publication date Collection: 2018
                Volume: 24
                Issue: 2
                Electronic Location Identifier: 10.7196/SARJ.2018.v24i2.169
                Affiliations
                [1 ] Department of Paediatric Pulmonology and Allergy, University of Limpopo and Pietersburg Provincial Hospital, Polokwane, South Africa
                [2 ] Department of Diagnostic Radiology, University of Limpopo and Pietersburg Provincial Hospital, Polokwane, South Africa
                Author notes
                Correspondence: S M Risenga - sam.risenga@ 123456gmail.com

                Declaration: None.

                Author Contributions: All authors contributed equally to the preparation of the manuscript.

                Funding: None.

                Conflicts of interest: None.

                Article
                DOI: 10.7196/SARJ.2018.v24i2.169
                PMC ID: 8432928
                SO-VID: 96b1f40f-f0c9-45ef-8550-9d66276c799d
                Copyright statement: Copyright @ 2018
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution - NonCommercial Works License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date accepted : 18 January 2018
                Categories
                Subject: Case Report

                Keywords: paediatric pulmonology,bronchogenic cyts,south africa,paediatric male,case study
                Data availability:
                Keywords: paediatric pulmonology, bronchogenic cyts, south africa, paediatric male, case study

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