Skip to main content
Thorax logoLink to Thorax
. 1992 Aug;47(8):660–662. doi: 10.1136/thx.47.8.660

Recurrent respiratory obstruction from a mediastinal bronchogenic cyst.

S R Johnston 1, A Adam 1, D J Allison 1, P Smith 1, P W Ind 1
PMCID: PMC463933  PMID: 1412126

Abstract

A large mediastinal bronchogenic cyst presented acutely with paroxysmal atrial fibrillation and severe airflow obstruction. The patient had experienced identical symptoms on two other occasions over the previous 24 years. These had been previously misdiagnosed as due to a mediastinal lymphoma. Percutaneous extrapleural aspiration successfully decompressed the cyst with substantial improvement in lung function. Recurrent swelling of the cyst occurred that could not be relieved surgically. After repeat aspiration percutaneous instillation of bleomycin and alcohol has been used to prevent further increase in the size of the cyst.

Full text

PDF
660

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cartmill J. A., Hughes C. F. Bronchogenic cysts: a persistent dilemma. Aust N Z J Surg. 1989 Mar;59(3):253–256. doi: 10.1111/j.1445-2197.1989.tb01510.x. [DOI] [PubMed] [Google Scholar]
  2. Di Lorenzo M., Collin P. P., Vaillancourt R., Duranceau A. Bronchogenic cysts. J Pediatr Surg. 1989 Oct;24(10):988–991. doi: 10.1016/s0022-3468(89)80199-x. [DOI] [PubMed] [Google Scholar]
  3. Edmonds C. J., Tellez M. Treatment of thyroid cysts by aspiration and injection of sclerosant. Br Med J (Clin Res Ed) 1987 Aug 29;295(6597):529–529. doi: 10.1136/bmj.295.6597.529. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Kairaluoma M. I., Leinonen A., Ståhlberg M., Päivänsalo M., Kiviniemi H., Siniluoto T. Percutaneous aspiration and alcohol sclerotherapy for symptomatic hepatic cysts. An alternative to surgical intervention. Ann Surg. 1989 Aug;210(2):208–215. doi: 10.1097/00000658-198908000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Kirwan W. O., Walbaum P. R., McCormack R. J. Cystic intrathoracic derivatives of the foregut and their complications. Thorax. 1973 Jul;28(4):424–428. doi: 10.1136/thx.28.4.424. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Kuhlman J. E., Fishman E. K., Wang K. P., Zerhouni E. A., Siegelman S. S. Mediastinal cysts: diagnosis by CT and needle aspiration. AJR Am J Roentgenol. 1988 Jan;150(1):75–78. doi: 10.2214/ajr.150.1.75. [DOI] [PubMed] [Google Scholar]
  7. Watson A. J., Chaudhary B. A. Cardiac arrhythmias and abnormal chest roentgenogram. Bronchogenic cyst. Chest. 1987 Aug;92(2):335–336. doi: 10.1378/chest.92.2.335. [DOI] [PubMed] [Google Scholar]
  8. Whyte M. K., Dollery C. T., Adam A., Ind P. W. Central bronchogenic cyst: treatment by extrapleural percutaneous aspiration. BMJ. 1989 Dec 9;299(6713):1457–1458. doi: 10.1136/bmj.299.6713.1457. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES