Retroperitoneal bronchogenic cyst: A rare incidentaloma discovered in a juvenile hypertensive patient

Published on Mar 6, 2014in Hypertension Research2.941
· DOI :10.1038/HR.2014.38
Tomohiro Terasaka10
Estimated H-index: 10
(Okayama University),
Fumio Otsuka35
Estimated H-index: 35
(Okayama University)
+ 5 AuthorsHirofumi Makino98
Estimated H-index: 98
(Okayama University)
Retroperitoneal bronchogenic cyst: a rare incidentaloma discovered in a juvenile hypertensive patient
#1Patrick O'NealH-Index: 8
#2Francis D. MooreH-Index: 90
Last. Daniel RuanH-Index: 5
view all 7 authors...
Objective: To describe a patient with a bronchogenic cyst that was erroneously diagnosed as an adrenal tumor and the surgical management strategy to address the operative challenges.Methods: We sum...
5 CitationsSource
#1Shaunagh McDermott (Harvard University)H-Index: 16
#1S. McDermott (Harvard University)H-Index: 2
Last. Michael A. Blake (Harvard University)H-Index: 59
view all 4 authors...
Incidental adrenal lesions are very common. Computed tomography (CT), magnetic resonance imaging (MRI) and positron emission tomography (PET) all have a role to play in characterizing adrenal lesions. The purpose of this review is to discuss the rationale behind both established and emerging imaging techniques. We also discuss how to follow up incidentally found lesions.
21 CitationsSource
#1K. GovaertsH-Index: 4
#2Peter Van EykenH-Index: 2
Last. Kurt Van der SpeetenH-Index: 13
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Bronchogenic cysts are mostly benign, congenital abnormalities originating from the remnants of the primitive foregut. A retroperitoneal location is rare. Due to the mostly asymptomatic behavior and the historical confusion regarding histology, an exact prevalence is not known. We present here a case report of a retroperitoneal bronchogenic cyst. A literature review was performed for cases of retroperitoneal bronchogenic cysts written in English. Anatomopathological criteria for inclusion were p...
32 CitationsSource
#1Ryo Kodera (Okayama University)H-Index: 8
#2Fumio Otsuka (Okayama University)H-Index: 35
Last. Hirofumi Makino (Okayama University)H-Index: 98
view all 8 authors...
A 46-year-old Japanese male with hypertension was referred for examination of left adrenal tumor incidentally detected by computed tomography (CT) scan. The patient had a 4-month history of hypertension. Abdominal CT demonstrated a low-density mass 2.5 cm in diameter in the left adrenal region that was observed as a high-intense lesion with T2-weighted magnetic resonance imaging. 131 I-adosterol scintigraphy showed normal uptake of bilateral adrenals. The adrenocortical hormone levels were withi...
7 CitationsSource
#1Takehiko Gokan (Showa University)H-Index: 17
#2Y OhgiyaH-Index: 1
Last. Munechika HH-Index: 5
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There are a variety of causes of adrenal pseudotumours on CT, including gastric diverticulum, prominent splenic lobulation, upper-pole renal mass, pancreatic mass, hepatic mass and periadrenal varices. These adrenal pseudotumours can be elucidated by multiplanar reconstruction using CT and MRI as well as from the axial images.
14 CitationsSource
#1Dal Mo YangH-Index: 4
#2Dong Hae JungH-Index: 5
Last. Hee Young HwangH-Index: 4
view all 7 authors...
Cystic lesions of the retroperitoneum can be classified as either neoplastic or nonneoplastic. Neoplastic lesions include cystic lymphangioma, mucinous cystadenoma, cystic teratoma, cystic mesothelioma, mullerian cyst, epidermoid cyst, tailgut cyst, bronchogenic cyst, cystic change in solid neoplasms, pseudomyxoma retroperitonei, and perianal mucinous carcinoma. Nonneoplastic lesions include pancreatic pseudocyst, nonpancreatic pseudocyst, lymphocele, urinoma, and hematoma. Because the clinical ...
274 CitationsSource
#1M. KebapciH-Index: 2
#1Mahmut Kebapci (Eskişehir Osmangazi University)H-Index: 13
Last. Canan DemirustuH-Index: 1
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Background: We describe nonenhanced, early contrast-enhanced, and delayed contrast-enhanced computed tomographic (CT) features and contrast washout characteristics of lipid-poor and lipid-rich adrenal adenomas and nonadenomas to determine the role of these methods in distinguishing one type from the other.
37 CitationsSource
#1W J Haddadin (Western Infirmary)H-Index: 1
#2R ReidH-Index: 1
Last. Rahul M. JindalH-Index: 26
view all 3 authors...
This report documents a bronchogenic cyst presenting as an adrenal tumour in a 51 year old man with persistent epigastric pain. The cyst is regarded as a developmental abnormality of the primitive foregut, which typically occurs in the chest. Subdiaphragmatic, and retroperitoneal locations in particular, are unusual. The differential diagnosis of a bronchogenic cyst in the retroperitoneum includes cystic teratoma, bronchopulmonary sequestration, cysts of urothelial and mullerian origin, and othe...
49 CitationsSource
#1Reuben S. Doggett (University of Pittsburgh)H-Index: 1
#2Sally E. Carty (University of Pittsburgh)H-Index: 52
Last. Martha R. Clarke (University of Pittsburgh)H-Index: 17
view all 3 authors...
Bronchogenic cysts are relatively rare congenital anomalies that represent malformations of the embryonic foregut and are morphologically expressed as maldevelopments of the respiratory system. Anatomically, they can be positioned at any location along the central axis of the respiratory system, but are more commonly discovered in the thorax. Infradiaphragmatic bronchogenic cysts are rare and retroperitoneal ones distinctly unusual. We report a retroperitoneal bronchogenic cyst clinically masque...
27 CitationsSource
Cited By1
Retroperitoneal bronchogenic cyst in suprarenal region treated by laparoscopic resection: A case report
Bronchogenic cysts are primitive, foregut-derived developmental anomalies with bronchial-type, pseudostratified cylindrical epithelium. They are usually discovered in the thorax. The occurrence of ...