Case Report

J Minim Invasive Surg 2012; 15(1): 16-18

Published online March 15, 2012

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

후복막에서 발생한 기관지원성 낭종의 복강경 절제

김광순ㆍ조윤주1ㆍ홍영옥2ㆍ이병석ㆍ김동희

을지대학교 의과대학 노원을지병원 외과, 소화기내과1, 병리과2

Laparoscopic Resection of a Bronchogenic Cyst Presenting as a Retroperitoneal Tumor

Kwang Soon Kim, M.D., Yun Ju Jo, M.D.1, Yong Ok Hong, M.D.2, Byung Seok Lee, M.D., Dong Hee Kim, M.D.

Departments of Surgery, 1Gastroenterology and 2Pathology, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.

Keywords Bronchogenic cyst, Retroperitoneum, Laparoscopy

Article

Case Report

J Minim Invasive Surg 2012; 15(1): 16-18

Published online March 15, 2012

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

후복막에서 발생한 기관지원성 낭종의 복강경 절제

김광순ㆍ조윤주1ㆍ홍영옥2ㆍ이병석ㆍ김동희

을지대학교 의과대학 노원을지병원 외과, 소화기내과1, 병리과2

Laparoscopic Resection of a Bronchogenic Cyst Presenting as a Retroperitoneal Tumor

Kwang Soon Kim, M.D., Yun Ju Jo, M.D.1, Yong Ok Hong, M.D.2, Byung Seok Lee, M.D., Dong Hee Kim, M.D.

Departments of Surgery, 1Gastroenterology and 2Pathology, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.

Keywords: Bronchogenic cyst, Retroperitoneum, Laparoscopy

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