Ceniceros-Cabrales AP, Sánchez-Fernández P

Language: Spanish
References: 15
Page: 187-190
PDF size: 451.76 Kb.

ABSTRACT

Backgronund: Bronchogenic cysts result from abnormal budding of the primitive tracheobronchial tube and are rare congenital cystic lesions. The location of the cyst depends on the embryological stage of abnormal budding. Although periesophageal bronchogenic cysts have been frequently reported, a completely intramural cyst is very rare. Clinical case: A 42-year-old female patient, a three-month course with retrosternal pain associated with food intake, accompanied by intermittent dysphagia to solids. Esophagogram, high resolution thoracic tomography and endoscopic ultrasound are performed, concluding a probable esophageal bronchogenic cyst. Resection is performed by video-assisted thoracic surgery, without complications. Patient presents with adequate evolution and complete remission of the symptomatology. Conclusion: Bronchogenic cysts of the esophageal wall are extremely uncommon lesions. Its surgical treatment is indicated to be symptomatic; video-assisted thoracoscopic surgery resection is of choice, with excellent long-term results and minimal morbidity.

REFERENCES

1. 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.

2. Ko S, Hsieh M, Lin J, Huang C, Li C, Cheung Y, et al. Bronchogenic cyst of the esophagus: clinical and imaging features of seven cases. Clin Imag. 2006; 30:309-14.

3. Berrocal T, Madrid C, Novo S, Gutiérrez J, Arjonilla A, Gómez-León N. Congenital anomalies of the tracheobronchial tree, lung, and mediastinum: embryology, radiology, and pathology. Radiographics. 2004;24:27.

4. Turkyilmaz A, Eroglu A, Subasi M, Findik G. Intramural esophageal bronchogenic cysts: a review of the literature. Dis Esophagus. 2007;20:461-5.

5. Nobuhara K, Gorski Y, Quaglia M, Shamberger R. Bronchogenic cysts and esophageal duplications: common origins and treatment. J Pediatr Surg. 1997;37:1408-13.

6. Han C, Lin R, Yu J, Zhang Q, Zhang Y, Liu J, et al. A case report of esophageal bronchogenic cyst and review of the literature with an emphasis on endoscopic ultrasonography appearance. Medicine. 2016; 95:11.

7. Westerterp M, Van den Berg, J, Van Lanschot J, Fockens P. Intramural bronchogenic cysts mimicking solid tumors. Endoscopy. 2004; 36:1119-22.

8. Altieri M, Zheng R, Pryor A, Heimann A, Ahn S, Telem D. Esophageal bronchogenic cyst and review of the literature. Surg Endosc. 2015; 29:3010-5.

9. Yang X, Partanen K, Seppa A, Berg E, Pasanen P. Paraesophageal bonchogenic cyst in adult: can it be differentiated from intramural esophageal cyst by different imagenings? Clinical Imagin. 1994;18:68-71.

10. Lim L, Ho K, Goh P. Preoperative diagnosis of a paraesophageal bronchogenic cyst using endosonography. Ann Thorac Surg. 2002;73 633-5.

11. Chuang K, Huang T, Cheng Y, Chen J, Tzao C, Chang H, et al. Esophageal bronchogenic cyst: a rare entity. Z Gastroenterol. 2007; 45:958-60.

12. Chafik A, Benjelloun A, Qassif H, El Fikri A, El Barni R, Zrara I. Intramural esophageal bronchogenic cysts. Asian Cardiovascular & Thoracic Annals. 2011;19:69-71.

13. Watson DI, Britten-Jones R. Thoracoscopic excision of bronchogenic cyst of the esophagus. Surg Endosc. 1995;9:824-5.

14. Sashiyama H, Miyazaki S, Okazaki Y, Kaiho T, Nakajima Y, Hoshino T, et al. Esophageal bronchogenic cyst successfully excised by endoscopic mucosal resection. Gastrointest Endosc. 2002;56:141-5.

15. Martinod E, Pons F, Azorín J, Mouroux J, Dahan M, Faillon JM, et al. Thoracoscopic excision of mediastinal bronchogenic cysts: results in 20 cases. Ann Thorac Surg. 2000;69:1525-8.