Laparoscopic Resection of a Bronchogenic Cyst Presenting as a Retroperitoneal Tumor

A bronchogenic cyst is regarded as a developmental abnormality of the primitive foregut, which typically occurs in the mediastinum. The cystis normally diagnosed in relation to respiratory problems or recurrent infections in children. In adulthood, it is a rare pathology, and its diagnosis is usually incidental. Moreover, subdiaphragmatic and retroperitoneal locations are exceptionally rare. A 60-year old woman presented with an incidental left retroperitoneal mass that was suspected of being a non-functioning retroperitoneal tumor. After evaluating the general radiologic and endocrinologic work up for a retroperitoneal tumor, a laparoscopically complete resection was performed with primary repair of the attached diaphragm. The surgically resected cyst measured 7×5×5 cm and was filled with mucin material. Histologically, the cyst wall was lined by a ciliated pseudostratified or tall columnar epithelium without dysplastic changes. The diagnosis of a bronchogenic cyst in the retroperitoneum was confirmed. We present this case with a review of the relevant literature. 󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏

[1]  I. Uyama,et al.  Laparoscopic Excision of Subdiaphragmatic Bronchogenic Cyst Occurring in the Retroperitoneum: Report of a Case , 2010, Surgical laparoscopy, endoscopy & percutaneous techniques.

[2]  S. R. Peña,et al.  Intraabdominal Bronchogenic Cyst , 2010, Journal of Gastrointestinal Surgery.

[3]  R. Meier,et al.  Bronchogene Zyste : eine seltene Diagnose bei retroperitonealer Raumforderung , 2009 .

[4]  M. Jung,et al.  Retroperitoneal bronchogenic cyst presenting as adrenal tumor in adult successfully treated with retroperitoneal laparoscopic surgery. , 2009, Urology.

[5]  D. Videla,et al.  Quiste broncogénico retroperitoneal. Caso clínico , 2007 .

[6]  T. Hwang,et al.  A retroperitoneal bronchogenic cyst successfully treated by laparoscopic surgery , 2007, Annals of Saudi medicine.

[7]  G. Vitagliano,et al.  Management of diaphragmatic injury during transperitoneal laparoscopic urological procedures. , 2007, International braz j urol : official journal of the Brazilian Society of Urology.

[8]  J. Marks,et al.  Subdiaphragmatic Bronchogenic Cysts: A Comprehensive Review of the Literature , 2005, The American surgeon.

[9]  O. Nishizawa,et al.  A Retroperitoneal Bronchogenic Cyst: Laparoscopic Treatment , 2004, Urologia Internationalis.

[10]  A. Iwashita,et al.  Bronchogenic cyst in the abdomen , 2004, Virchows Archiv A.

[11]  T. Ichikawa,et al.  Retroperitoneal bronchogenic cyst: CT and MR imaging , 2000, Abdominal Imaging.

[12]  M. Neri,et al.  Prenatal diagnosis of a bronchogenic cyst in an unusual site , 2000, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[13]  S. Okada,et al.  A retroperitoneal bronchogenic cyst with malignant change , 1999, Pathology international.

[14]  Y. Akiyama,et al.  Retroperitoneal bronchogenic cyst: Report of a case and literature review , 1999, Pathology international.

[15]  S. Carty,et al.  Retroperitoneal bronchogenic cyst masquerading clinically and radiologically as a phaeochromocytoma , 1997, Virchows Archiv.

[16]  H. Gabbert,et al.  Bronchogenic cyst: a rare cause of a retroperitoneal mass. , 1997, The European journal of surgery = Acta chirurgica.

[17]  J. Fitzgerald,et al.  Bronchogenic cysts above and below the diaphragm: report of eight cases. , 1987, The Annals of thoracic surgery.