Infected Bronchogenic Cyst Treated With Drainage Followed by Resection

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Presentation transcript:

Infected Bronchogenic Cyst Treated With Drainage Followed by Resection Yo Kawaguchi, MD, Jun Hanaoka, MD, Shoji Asakura, MD, Takuya Fujita, MD The Annals of Thoracic Surgery Volume 98, Issue 1, Pages 332-334 (July 2014) DOI: 10.1016/j.athoracsur.2013.09.070 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Chest computed tomography revealed a well-circumscribed, rounded, 90 × 70 mm diameter cyst with air-fluid level in the subcarina, causing compression of both mainstem bronchi and esophagus. The Annals of Thoracic Surgery 2014 98, 332-334DOI: (10.1016/j.athoracsur.2013.09.070) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The cyst was drained through the esophageal wall using endoscopic ultrasonography. The Annals of Thoracic Surgery 2014 98, 332-334DOI: (10.1016/j.athoracsur.2013.09.070) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 A chest computed tomography scan 4 weeks after the endoscopic ultrasonography drainage procedure showed a smaller lesion. The Annals of Thoracic Surgery 2014 98, 332-334DOI: (10.1016/j.athoracsur.2013.09.070) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Histopathology examination revealed that the cyst wall consisted mainly of fibrous tissue with chronic inflammation and hemorrhage, and was partly lined by stratified squamous epithelium. Immunohistochemical staining of the epithelium with CA19-9 was positive. The Annals of Thoracic Surgery 2014 98, 332-334DOI: (10.1016/j.athoracsur.2013.09.070) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions