Transthoracic Drainage of an Intrapulmonary Bronchogenic Cyst With an Intercostal Catheter
ABSTRACT Bronchogenic cysts are rare congenital anomalies stemming from the tracheobronchial tree. Often, they are incidental findings, but they can also cause significant symptom burdens such as coughing, haemoptysis, and respiratory distress. Generally, the optimal treatment is surgical excision v...
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| Format: | Article |
| Language: | English |
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Wiley
2025-06-01
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| Series: | Respirology Case Reports |
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| Online Access: | https://doi.org/10.1002/rcr2.70222 |
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| author | Khuyen Hoang Michael V Brown Phan Nguyen Arash Badiei |
| author_facet | Khuyen Hoang Michael V Brown Phan Nguyen Arash Badiei |
| author_sort | Khuyen Hoang |
| collection | DOAJ |
| description | ABSTRACT Bronchogenic cysts are rare congenital anomalies stemming from the tracheobronchial tree. Often, they are incidental findings, but they can also cause significant symptom burdens such as coughing, haemoptysis, and respiratory distress. Generally, the optimal treatment is surgical excision via lobectomy, but not all patients are suitable for this. Herein, we present the case of an 84‐year‐old female with a large intrapulmonary bronchogenic cyst who presented with progressive dyspnoea, haemoptysis, and fevers. Due to relative contraindications for surgery, an ultrasound‐guided percutaneous intercostal catheter insertion with administration of fibrinolytic and mucolytic therapy was performed to evacuate the contents. This approach demonstrated clinical and radiographic improvement to her symptoms without any significant complications. Similar approaches have previously been reported, but they were mainly in mediastinal and seldom in intrapulmonary bronchogenic cysts. Overall, a viable and effective minimally invasive alternative to surgery has been demonstrated in a high surgical risk patient. |
| format | Article |
| id | doaj-art-0ff260c84b2b409680a889688b5fabb2 |
| institution | Kabale University |
| issn | 2051-3380 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj-art-0ff260c84b2b409680a889688b5fabb22025-08-20T03:27:56ZengWileyRespirology Case Reports2051-33802025-06-01136n/an/a10.1002/rcr2.70222Transthoracic Drainage of an Intrapulmonary Bronchogenic Cyst With an Intercostal CatheterKhuyen Hoang0Michael V Brown1Phan Nguyen2Arash Badiei3Faculty of Health and Medical Sciences Adelaide Medical School, University of Adelaide Adelaide AustraliaFaculty of Health and Medical Sciences Adelaide Medical School, University of Adelaide Adelaide AustraliaFaculty of Health and Medical Sciences Adelaide Medical School, University of Adelaide Adelaide AustraliaFaculty of Health and Medical Sciences Adelaide Medical School, University of Adelaide Adelaide AustraliaABSTRACT Bronchogenic cysts are rare congenital anomalies stemming from the tracheobronchial tree. Often, they are incidental findings, but they can also cause significant symptom burdens such as coughing, haemoptysis, and respiratory distress. Generally, the optimal treatment is surgical excision via lobectomy, but not all patients are suitable for this. Herein, we present the case of an 84‐year‐old female with a large intrapulmonary bronchogenic cyst who presented with progressive dyspnoea, haemoptysis, and fevers. Due to relative contraindications for surgery, an ultrasound‐guided percutaneous intercostal catheter insertion with administration of fibrinolytic and mucolytic therapy was performed to evacuate the contents. This approach demonstrated clinical and radiographic improvement to her symptoms without any significant complications. Similar approaches have previously been reported, but they were mainly in mediastinal and seldom in intrapulmonary bronchogenic cysts. Overall, a viable and effective minimally invasive alternative to surgery has been demonstrated in a high surgical risk patient.https://doi.org/10.1002/rcr2.70222bronchogenic cystfibrinolysisintercostal catheterintrapulmonary cystultrasound guided |
| spellingShingle | Khuyen Hoang Michael V Brown Phan Nguyen Arash Badiei Transthoracic Drainage of an Intrapulmonary Bronchogenic Cyst With an Intercostal Catheter Respirology Case Reports bronchogenic cyst fibrinolysis intercostal catheter intrapulmonary cyst ultrasound guided |
| title | Transthoracic Drainage of an Intrapulmonary Bronchogenic Cyst With an Intercostal Catheter |
| title_full | Transthoracic Drainage of an Intrapulmonary Bronchogenic Cyst With an Intercostal Catheter |
| title_fullStr | Transthoracic Drainage of an Intrapulmonary Bronchogenic Cyst With an Intercostal Catheter |
| title_full_unstemmed | Transthoracic Drainage of an Intrapulmonary Bronchogenic Cyst With an Intercostal Catheter |
| title_short | Transthoracic Drainage of an Intrapulmonary Bronchogenic Cyst With an Intercostal Catheter |
| title_sort | transthoracic drainage of an intrapulmonary bronchogenic cyst with an intercostal catheter |
| topic | bronchogenic cyst fibrinolysis intercostal catheter intrapulmonary cyst ultrasound guided |
| url | https://doi.org/10.1002/rcr2.70222 |
| work_keys_str_mv | AT khuyenhoang transthoracicdrainageofanintrapulmonarybronchogeniccystwithanintercostalcatheter AT michaelvbrown transthoracicdrainageofanintrapulmonarybronchogeniccystwithanintercostalcatheter AT phannguyen transthoracicdrainageofanintrapulmonarybronchogeniccystwithanintercostalcatheter AT arashbadiei transthoracicdrainageofanintrapulmonarybronchogeniccystwithanintercostalcatheter |