Coexistence of mediastinal teratoma and intrapulmonary bronchogenic cyst: a case report
Abstract Background Mediastinal masses are relatively common in pediatric populations, but their coexistence with bronchogenic cysts is extremely rare. Such cases present diagnostic and therapeutic challenges owing to overlapping features and the need for precise identification to guide appropriate...
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BMC
2025-07-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-025-05391-z |
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| author | Sepehr Sadrizadeh Ali Sadrizadeh Mohammad Hadi Sadeghian |
| author_facet | Sepehr Sadrizadeh Ali Sadrizadeh Mohammad Hadi Sadeghian |
| author_sort | Sepehr Sadrizadeh |
| collection | DOAJ |
| description | Abstract Background Mediastinal masses are relatively common in pediatric populations, but their coexistence with bronchogenic cysts is extremely rare. Such cases present diagnostic and therapeutic challenges owing to overlapping features and the need for precise identification to guide appropriate management. Reporting this unusual combination enhances awareness and contributes to the understanding of their clinical presentation and treatment. Case presentation A 15-year-old female of Iranian ethnicity presented with a 3-month history of persistent, nonproductive cough unresponsive to standard medical treatments. The patient had no significant past medical history. Diagnostic imaging, including chest X-ray and computed tomography scans, revealed two separate thoracic lesions suggestive of mediastinal and pulmonary masses. The patient also underwent surgical resection via left posterolateral thoracotomy. Histopathological examination confirmed a mature cystic teratoma in the mediastinum, containing various tissue types, and an infected bronchogenic cyst within the lung, characterized by alveolar hemorrhage and abscess formation. Postoperative recovery was uneventful, and follow-up imaging demonstrated no residual abnormalities. Conclusion This case revealed the importance of comprehensive diagnostic evaluation in pediatric patients with persistent respiratory symptoms. Although rare, the simultaneous occurrence of mediastinal mature teratomas and bronchogenic cysts should be considered in differential diagnoses to enable timely surgical intervention. Recognizing this coexistence can lead to favorable outcomes and informs clinicians about the potential complexity of thoracic masses in adolescents. |
| format | Article |
| id | doaj-art-080c0950a64342519c4de8477a45a57b |
| institution | Kabale University |
| issn | 1752-1947 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj-art-080c0950a64342519c4de8477a45a57b2025-08-20T04:01:41ZengBMCJournal of Medical Case Reports1752-19472025-07-011911810.1186/s13256-025-05391-zCoexistence of mediastinal teratoma and intrapulmonary bronchogenic cyst: a case reportSepehr Sadrizadeh0Ali Sadrizadeh1Mohammad Hadi Sadeghian2Department of Medicine, Faculty of Medicine, Mashhad University of Medical SciencesProfessor of Thoracic Surgery, Cardiothoracic Surgery and Transplant Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical SciencesProfessor of Pathology, Department of Hematology and Blood Banking, Cancer Molecular Pathology Research Center, Mashhad University of Medical ScienceAbstract Background Mediastinal masses are relatively common in pediatric populations, but their coexistence with bronchogenic cysts is extremely rare. Such cases present diagnostic and therapeutic challenges owing to overlapping features and the need for precise identification to guide appropriate management. Reporting this unusual combination enhances awareness and contributes to the understanding of their clinical presentation and treatment. Case presentation A 15-year-old female of Iranian ethnicity presented with a 3-month history of persistent, nonproductive cough unresponsive to standard medical treatments. The patient had no significant past medical history. Diagnostic imaging, including chest X-ray and computed tomography scans, revealed two separate thoracic lesions suggestive of mediastinal and pulmonary masses. The patient also underwent surgical resection via left posterolateral thoracotomy. Histopathological examination confirmed a mature cystic teratoma in the mediastinum, containing various tissue types, and an infected bronchogenic cyst within the lung, characterized by alveolar hemorrhage and abscess formation. Postoperative recovery was uneventful, and follow-up imaging demonstrated no residual abnormalities. Conclusion This case revealed the importance of comprehensive diagnostic evaluation in pediatric patients with persistent respiratory symptoms. Although rare, the simultaneous occurrence of mediastinal mature teratomas and bronchogenic cysts should be considered in differential diagnoses to enable timely surgical intervention. Recognizing this coexistence can lead to favorable outcomes and informs clinicians about the potential complexity of thoracic masses in adolescents.https://doi.org/10.1186/s13256-025-05391-zMediastinal teratomaBronchogenic cystPediatric thoracic massesCoexistenceSurgical resection |
| spellingShingle | Sepehr Sadrizadeh Ali Sadrizadeh Mohammad Hadi Sadeghian Coexistence of mediastinal teratoma and intrapulmonary bronchogenic cyst: a case report Journal of Medical Case Reports Mediastinal teratoma Bronchogenic cyst Pediatric thoracic masses Coexistence Surgical resection |
| title | Coexistence of mediastinal teratoma and intrapulmonary bronchogenic cyst: a case report |
| title_full | Coexistence of mediastinal teratoma and intrapulmonary bronchogenic cyst: a case report |
| title_fullStr | Coexistence of mediastinal teratoma and intrapulmonary bronchogenic cyst: a case report |
| title_full_unstemmed | Coexistence of mediastinal teratoma and intrapulmonary bronchogenic cyst: a case report |
| title_short | Coexistence of mediastinal teratoma and intrapulmonary bronchogenic cyst: a case report |
| title_sort | coexistence of mediastinal teratoma and intrapulmonary bronchogenic cyst a case report |
| topic | Mediastinal teratoma Bronchogenic cyst Pediatric thoracic masses Coexistence Surgical resection |
| url | https://doi.org/10.1186/s13256-025-05391-z |
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