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Case Reports
. 2018 Jun 21;24(2):10.7196/SARJ.2018.v24i2.169.
doi: 10.7196/SARJ.2018.v24i2.169. eCollection 2018.

A bronchogenic cyst masquerading as asthma: A case report

M D Moremi  1 , A L Motene  1 , N J Maligavhada  1 , N G Tiva  1 , R T Mamogale  2 , S M Risenga  1
Affiliations
Case Reports

A bronchogenic cyst masquerading as asthma: A case report

M D Moremi et al. Afr J Thorac Crit Care Med. .

Abstract

Wheezing in infants and under-five children may present a diagnostic problem as there are various aetiologies for this symptom. Diagnosis of asthma is often made as it is one of the causes of wheezing in children. It is however important to have taken a complete history, including allergy and appropriate diagnostic investigations. If the child's symptoms do not improve despite appropriate therapy, a different diagnosis must be pursued. We report the case of a child who presented to us with wheezing and who did not respond to therapy.

Keywords: South Africa; bronchogenic cyts; case study; paediatric male; paediatric pulmonology.

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Conflict of interest statement

Conflicts of interest: None.

Figures

Fig. 1
Fig. 1
Pre-operative chest X-rays of the patient (not intubated). Widening of the superior mediastinum with early left lower-lobe patchy infiltrates and right lung upper-lobe early herniation to the left.
Fig. 2
Fig. 2
Patient intubated, rotated, left-lung early collapse consolidation and middle lobe consolidation.
Fig. 3
Fig. 3
Superior mediastinal mass, collapsed left lung showing mediastinal shift to left. Right lung hyperinflation and herniation to the left.
Fig. 4
Fig. 4
Superior mediastinal mass, collapsed left lung showing mediastinal shift to left. Right lung hyperinflation and herniation to the left.
Fig. 5
Fig. 5
Middle mediastinal cystic mass lesion. Displacing and compressing the airway and the oesphagus.
Fig. 6
Fig. 6
Atresia of left bronchus due to chronic mass effect.
Fig. 7
Fig. 7
Prominent multiple veins noted on the anterior chest wall, neck and left shoulder with associated prominent right jugular vein from raised jugular venous pressure from compressed superior vena cava. Proximal oesophageal dilation with nasogastric tube in situ from proximal oesophageal mass effect.
Fig. 8
Fig. 8
Middle mediastinal cystic mass with mass effect on the superior vena cava and trachea and with associated anterior displacement of the anterior mediastinum, left lung collapse and right lung compensatory hyperinflation.
Fig. 9
Fig. 9
Right lung hyperinflation with multiple diffuse patchy infiltrates suggestive of infection and early consolidation.
Fig. 10
Fig. 10
Postoperative chest X-rays. Endotracheal tube, nasogadtric tube, and intercostal drain in situ. Malaligned right upper ribs, right lung contusions. Superior mediastinum less dense and reduced. Left lung reinflated. Right lung normal volume.
Fig. 11
Fig. 11
Endotracheal tube, nasogadtric tube, and intercostal drain in situ. Malaligned right upper ribs, right lung contusions. Superior mediastinum less dense and reduced. Left lung was reinflated, while the right lung had a normal volume.
Fig. 12
Fig. 12
Bronchoscopy showing narrowing of the left main bronchus.
See this image and copyright information in PMC

References

    1. Konstantinov IE, Saxena P, Vanden Driesen R, Newman MAJ. Large bronchogenic cyst: Diagnostic and surgical management. Heart Lung Circ. 2008;17(2):146–148. doi: 10.1016/j.hlc.2006.10.010. - DOI - PubMed
    1. Hsu CG, Heller M, Johnston GS, Felberbaum M. An unusual cause of airway compromise in the emergency department: Mediastinal bronchogenic cyst. J Emerg Medic. 2016;52(3):e91–e93. doi: 10.1016/j.jemermed.2016.11.004. - DOI - PubMed
    1. Goldsztein H, Miranda A, Pinczewski J, Pereira KD. Bronchogenic cyst: An unusual cause of respiratory distress in a neonate. Int J Pediatr Otorhinolaryngol. 2011;6(4):297–299. doi: 10.1016/j.pedex.2011.02.001. - DOI
    1. Amore D, Francesco SC, Perrotta F, Cennamo A, Curcio C. Bilateral Simultaneous VATS for complete resection of bilateral posterior mediastinal bronchogenic cyst: A case report. Int J Surg Case Rep. 2016;28:149–151. doi: 10.1016/j.ijscr.2016.09.020. - DOI - PMC - PubMed
    1. Kosar A, Tezel C, Orki A, Kiral H, Arman B. Bronchogenic cyst of the lung: Report of 29 cases. Heart Lung Circ. 2008;18(3):214–218. doi: 10.1016/j.hlc.2008.10.011. - DOI - PubMed

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