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ABC of Pediatric Surgical ImagingBronchogenic Cysts

ABC of Pediatric Surgical Imaging: Bronchogenic Cysts Surgeon: A. Brooks A Bronchogenic Cysts Radiologist: T. Kilborn Clinical Insights What the Surgeon Needs to Know Congenital cysts that result from an Is this a bronchogenic cyst? anomalous development of the ventral What is its origin and location? foregut and are along the tracheobronchial Is there any evidence of complications tree or within the lung parenchyma. that could be life threatening? Exclude When parenchymal in location the lower airway and great vessel compression lobes are most commonly involved. preoperatively. They may communicate with the Is there a communication with the bronchial tree and if so usually present bronchial tree, oesophagus or stomach? with signs of pulmonary sepsis and air–fl uid levels. Warnings Clinical Diff erential diagnosis Cyst-related complications such as CCAM infection, rupture, bleeding and compres- Pulmonary sequestration sion are common. Empyema There is also a risk of malignant degeneration. Other reported complications include airway-cyst fi stula, ulceration and haemorrhage. Arrhythmias and superior vena cava syndrome may also develop. CXR demonstrates an oval soft-tissue density para- hilar mass on the right (arrow) representing a bron- chogenic cyst. This is causing air-trapping in the right lung because of compression of the main bronchus 20 Bronchogenic Cysts – Surgical Aspects http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

ABC of Pediatric Surgical ImagingBronchogenic Cysts

Editors: Andronikou, Savvas; Alexander, Angus; Kilborn, Tracy; Millar, Alastair J. W.; Daneman, Alan
Brooks, A.; Kilborn, T.
Springer Journals — Jan 1, 2010
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Publisher
Springer Berlin Heidelberg
Copyright
© Springer-Verlag Berlin Heidelberg 2010
ISBN
978-3-540-89384-4
Pages
20 –21
DOI
10.1007/978-3-540-89385-1_10
Publisher site
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Abstract

Surgeon: A. Brooks A Bronchogenic Cysts Radiologist: T. Kilborn Clinical Insights What the Surgeon Needs to Know Congenital cysts that result from an Is this a bronchogenic cyst? anomalous development of the ventral What is its origin and location? foregut and are along the tracheobronchial Is there any evidence of complications tree or within the lung parenchyma. that could be life threatening? Exclude When parenchymal in location the lower airway and great vessel compression lobes are most commonly involved. preoperatively. They may communicate with the Is there a communication with the bronchial tree and if so usually present bronchial tree, oesophagus or stomach? with signs of pulmonary sepsis and air–fl uid levels. Warnings Clinical Diff erential diagnosis Cyst-related complications such as CCAM infection, rupture, bleeding and compres- Pulmonary sequestration sion are common. Empyema There is also a risk of malignant degeneration. Other reported complications include airway-cyst fi stula, ulceration and haemorrhage. Arrhythmias and superior vena cava syndrome may also develop. CXR demonstrates an oval soft-tissue density para- hilar mass on the right (arrow) representing a bron- chogenic cyst. This is causing air-trapping in the right lung because of compression of the main bronchus 20 Bronchogenic Cysts – Surgical Aspects

Published: Jan 1, 2010

Keywords: Lung Parenchyma; Bronchial Tree; Tracheobronchial Tree; Bronchogenic Cyst; Pulmonary Sequestration

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