Bilateral bronchogenic cysts in a pediatric patient removed via single-sided thoracoscopy: a case report
Introduction: Bronchogenic cysts are rare congenital anomalies from abnormal bronchial development. They usually present as solitary lesions; multiple cysts are extremely rare. Diagnosis and management can be challenging due to their location and symptoms. Case presentation: A 9-year-old boy present...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-07-01
|
| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576625000776 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849761898847797248 |
|---|---|
| author | A. Lackinger W. Krois A. Szelenyi M. Metzelder |
| author_facet | A. Lackinger W. Krois A. Szelenyi M. Metzelder |
| author_sort | A. Lackinger |
| collection | DOAJ |
| description | Introduction: Bronchogenic cysts are rare congenital anomalies from abnormal bronchial development. They usually present as solitary lesions; multiple cysts are extremely rare. Diagnosis and management can be challenging due to their location and symptoms. Case presentation: A 9-year-old boy presented with fever, cough, and malaise. A sputum test confirmed Mycoplasma pneumonia, and initial chest radiographs showed pneumonia and two circumscribed masses on both sides of the trachea. MRI scan suggested bilateral bronchogenic cysts: one near the right main bronchus and another more caudally on the left side, with a suspected connection between them. Two months after the resolution of the pneumonia, the patient was taken to the operating room. He was placed in left lateral prone position. We used three working ports: a 5-mm port for the camera, and two 3-mm ports for surgical instruments. We did not require single-lung ventilation during the procedure. Both cysts were excised through the right-sided thoracoscopy. The right cyst was first dissected and ligated at the base with a Roeder loop. The left cyst, found cranial to the first one and without connection to the first one, was subsequently dissected free of all attachments. Both cysts were removed from the chest into a retrieval bag. A chest tube was left in place and removed on postoperative day 3, and the patient was discharged home on postoperative day 5. Histopathology confirmed bronchogenic cysts. Conclusion: Single-sided thoracoscopy appears to be a safe and effective approach for managing selected cases of bilateral bronchogenic cysts. The left lateral prone positioning provided optimal vision, allowing access to both cysts from one side. |
| format | Article |
| id | doaj-art-56065e9ea6d04ab4b18fd4d422fa73b9 |
| institution | DOAJ |
| issn | 2213-5766 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj-art-56065e9ea6d04ab4b18fd4d422fa73b92025-08-20T03:05:53ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662025-07-0111810303210.1016/j.epsc.2025.103032Bilateral bronchogenic cysts in a pediatric patient removed via single-sided thoracoscopy: a case reportA. Lackinger0W. Krois1A. Szelenyi2M. Metzelder3Department of Pediatric Surgery, Medical University of Vienna, Austria; Corresponding author. Resident in pediatric surgery, Medical University of Vienna, Austria.Department of Pediatric Surgery, Medical University of Vienna, AustriaDepartment of Pediatric Radiology, Medical University of Vienna, AustriaDepartment of Pediatric Surgery, Medical University of Vienna, AustriaIntroduction: Bronchogenic cysts are rare congenital anomalies from abnormal bronchial development. They usually present as solitary lesions; multiple cysts are extremely rare. Diagnosis and management can be challenging due to their location and symptoms. Case presentation: A 9-year-old boy presented with fever, cough, and malaise. A sputum test confirmed Mycoplasma pneumonia, and initial chest radiographs showed pneumonia and two circumscribed masses on both sides of the trachea. MRI scan suggested bilateral bronchogenic cysts: one near the right main bronchus and another more caudally on the left side, with a suspected connection between them. Two months after the resolution of the pneumonia, the patient was taken to the operating room. He was placed in left lateral prone position. We used three working ports: a 5-mm port for the camera, and two 3-mm ports for surgical instruments. We did not require single-lung ventilation during the procedure. Both cysts were excised through the right-sided thoracoscopy. The right cyst was first dissected and ligated at the base with a Roeder loop. The left cyst, found cranial to the first one and without connection to the first one, was subsequently dissected free of all attachments. Both cysts were removed from the chest into a retrieval bag. A chest tube was left in place and removed on postoperative day 3, and the patient was discharged home on postoperative day 5. Histopathology confirmed bronchogenic cysts. Conclusion: Single-sided thoracoscopy appears to be a safe and effective approach for managing selected cases of bilateral bronchogenic cysts. The left lateral prone positioning provided optimal vision, allowing access to both cysts from one side.http://www.sciencedirect.com/science/article/pii/S2213576625000776Bronchogenic cystsBilateral cystsVideo-assisted thoracoscopic surgery (VATS)Congenital thoracic malformationsCase report |
| spellingShingle | A. Lackinger W. Krois A. Szelenyi M. Metzelder Bilateral bronchogenic cysts in a pediatric patient removed via single-sided thoracoscopy: a case report Journal of Pediatric Surgery Case Reports Bronchogenic cysts Bilateral cysts Video-assisted thoracoscopic surgery (VATS) Congenital thoracic malformations Case report |
| title | Bilateral bronchogenic cysts in a pediatric patient removed via single-sided thoracoscopy: a case report |
| title_full | Bilateral bronchogenic cysts in a pediatric patient removed via single-sided thoracoscopy: a case report |
| title_fullStr | Bilateral bronchogenic cysts in a pediatric patient removed via single-sided thoracoscopy: a case report |
| title_full_unstemmed | Bilateral bronchogenic cysts in a pediatric patient removed via single-sided thoracoscopy: a case report |
| title_short | Bilateral bronchogenic cysts in a pediatric patient removed via single-sided thoracoscopy: a case report |
| title_sort | bilateral bronchogenic cysts in a pediatric patient removed via single sided thoracoscopy a case report |
| topic | Bronchogenic cysts Bilateral cysts Video-assisted thoracoscopic surgery (VATS) Congenital thoracic malformations Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2213576625000776 |
| work_keys_str_mv | AT alackinger bilateralbronchogeniccystsinapediatricpatientremovedviasinglesidedthoracoscopyacasereport AT wkrois bilateralbronchogeniccystsinapediatricpatientremovedviasinglesidedthoracoscopyacasereport AT aszelenyi bilateralbronchogeniccystsinapediatricpatientremovedviasinglesidedthoracoscopyacasereport AT mmetzelder bilateralbronchogeniccystsinapediatricpatientremovedviasinglesidedthoracoscopyacasereport |