Ectopic congenital bronchogenic cyst accompanied by infection appearing in the cervical region of an elderly female patient: A case report

Liu,Zhonglong; Tian,Zhuowei; Zhang,Chenping; He,Yue

doi:10.3892/ol.2015.4022

Ectopic congenital bronchogenic cyst accompanied by infection appearing in the cervical region of an elderly female patient: A case report

Authors:
- Zhonglong Liu
- Zhuowei Tian
- Chenping Zhang
- Yue He
View Affiliations

Affiliations: Department of Oromaxillofacial Head and Neck Oncology, Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, P.R. China
Published online on: December 10, 2015 https://doi.org/10.3892/ol.2015.4022
Pages: 1065-1068

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

Bronchogenic cysts (BCs) are rare congenital cystic lesions arising as a development malformation in the trachea‑bronchial system during the embryonic period. The cysts mostly occur in the mediastinum, with an extremely low morbidity rate in the oromaxillofacial‑head and neck region. The age distribution of patients who present with BCs shows a significant predominance towards young individuals compared with the elderly. The current study reports the case a 70‑year‑old female who presented with a painful mass in the right cervical region. Pre‑operative computed tomography (CT) and ultrasound showed a heterogeneous hypodense cystic lesion accompanied by infection. A mass of gaseous density was observed on repeat CT following antibiotic therapy. The pathological examination after complete resection revealed a BC, which can also be easily misdiagnosed as common congenital cervical cysts, such as a branchial cleft cyst or a thyroglossal duct cyst, among others. There was no recurrence or any discomfort during the 34‑month follow‑up period.

View Figures

View References

1	Park OK and Buford CH: Bronchogenic cyst of neck and superior mediastinum. Ann Surg. 142:130–133. 1955. View Article : Google Scholar : PubMed/NCBI
2	Al-kasspooles MF, Alberico RA, Douglas WG, Litwin AM, Wiseman SM, Rigual NR, et al: Bronchogenic cyst presenting as a symptomatic neck mass in an adult: case report and review of the literature. Laryngoscope. 114:2214–2217. 2004. View Article : Google Scholar : PubMed/NCBI
3	Hazenberg AJ, Pullmann LM, Henke RP and Hoppe F: Recurrent neck abscess due to a bronchogenic cyst in an adult. J Laryngol Otol. 124:1325–1328. 2010. View Article : Google Scholar : PubMed/NCBI
4	Wilkinson N, Reid H and Hughes D: Intradural bronchogenic cysts. J Clin Pathol. 45:1032–1033. 1992. View Article : Google Scholar : PubMed/NCBI
5	Pul N and Pul M: Bronchogenic cyst of the scapular area in an infant: case report and review of the literature. J Am Acad Dermatol. 31:120–122. 1994. View Article : Google Scholar : PubMed/NCBI
6	Maier HC: Bronchiogenic cysts of the mediastinum. Ann Surg. 127:476–502. 1948. View Article : Google Scholar : PubMed/NCBI
7	Chapman KR and Rebuck AS: Spontaneous disappearance of a chronic mediastinal mass. Chest. 87:235–236. 1985. View Article : Google Scholar : PubMed/NCBI
8	Di Lorenzo M, Collin PP, Vaillancourt R and Duranceau A: Bronchogenic cysts. J Pediatr Surg. 24:988–991. 1989. View Article : Google Scholar : PubMed/NCBI
9	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. 52:6–13. 1991. View Article : Google Scholar : PubMed/NCBI
10	Ustundag E, Iseri M, Keskin G, Yayla B and Muezzinoglu B: Cervical bronchogenic cysts in head and neck region. J Laryngol Otol. 119:419–423. 2005. View Article : Google Scholar : PubMed/NCBI
11	Kostopoulos G, Efstathiou A, Skordalaki A and Fessatidis I: Bronchogenic cyst infected by Salmonella enteritidis followed gastroenteritis. Eur J Cardiothorac Surg. 21:935–937. 2002. View Article : Google Scholar : PubMed/NCBI
12	Moz U, Gamba P, Pignatelli U, D'Addazio G, Zorzi F, Fiaccavento S and Milesi F: Bronchogenic cysts of the neck: a rare localization and review of the literature. Acta Otorhinolaryngol Ital. 29:36–40. 2009.PubMed/NCBI
13	Touloukian RJ: Air filled bronchogenic cyst presenting as a cervical mass in the newborn. J Pediatr Surg. 17:311–312. 1982. View Article : Google Scholar : PubMed/NCBI
14	Newkirk KA, Tassler AB, Krowiak EJ and Deeb ZE: Bronchogenic cysts of the neck in adults. Ann Otol Rhinol Laryngol. 113:691–695. 2004. View Article : Google Scholar : PubMed/NCBI
15	Mehta RP, Faquin WC and Cunningham MJ: Cervical bronchogenic cysts, a consideration in the differential diagnosis of pediatric cervical cystic masses. Int J Pediatr Otorhinolaryngol. 68:563–568. 2004. View Article : Google Scholar : PubMed/NCBI
16	Zvulunov A, Amichai B, Grunwald MH, Avinoach I and Halevy S: Cutaneous bronchogenic cyst, delineation of a poorly recognized lesion. Pediatr Dermatol. 15:277–281. 1998. View Article : Google Scholar : PubMed/NCBI
17	Shimazu R, Kuratomi Y and Inokuchi A: A case of an upper cervical bronchogenic cyst in an adult. Auris Nasus Larynx. 33:351–353. 2006. View Article : Google Scholar : PubMed/NCBI