Case Reports

Paraesophageal Bronchogenic Cyst Associated with Multiple Epithelial Splenic Cysts
Pia Pogoda^a,b, Jakob R. Izbicki^a, Thomas E. Langwieler^a, Carsten Staedtler^c, Christoph Busch^a

Departments of
^aSurgery,
^bTrauma Surgery and
^cPathology, Hamburg University School of Medicine, Hamburg, Germany

Address of Corresponding Author

Dig Surg 2002;19:59-63 (DOI: 10.1159/000052008)

  Key Words

• Bronchogenic cyst
• Splenic cyst
• Foregut cyst
• Esophageal tumor

  Abstract

Background: Bronchogenic cysts are rare congenital cystic lesions of foregut origin. They are the result of abnormal budding of the primitive tracheobronchial tube. Nonparasitic, true splenic cysts are another rare entity that might occur as incidental findings but may lead to deleterious courses in case of ruptures. Case Report: We report here the first case of the uncommon association of a paraesophageal bronchogenic cyst and multiple primary splenic cysts in a 23-year-old woman suffering from dysphagia and chest pain. Successful complete resection of the paraesophageal cyst was performed using an abdominal, transhiatal approach and splenic cysts were subjected to organ-preserving TA stapler resection. Conclusion: Thus far there is no proof or genetic indication for a direct association of bronchogenic cysts and multiple splenic cysts, however, the uncommon coincidence of both lesions in our patient might suggest a common origin. Difficulties in preoperative diagnosis, histopathological characteristics and surgical treatment modalities are presented.

Copyright © 2002 S. Karger AG, Basel

  Author Contacts

Dr. Christoph Busch, Department of Surgery
Hamburg University School of Medicine
Martinistrasse 52, D-20246 Hamburg (Germany)
E-Mail busch@uke.uni-hamburg.de

  Article Information

Number of Print Pages : 5
Number of Figures : 4, Number of Tables : 0, Number of References : 23