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Bronchogenic cysts (BCs) are congenital abnormalities commonly found within the mediastinum. Diaphragmatic location is extremely rare. We present a woman in her 60s with an asymptomatic intradiaphragmatic BC. The patient underwent complete surgical resection with primary closure of the left hemidiaphragm. BCs should remain a differential diagnosis of any soft-tissue mass in the region of the diaphragm. Complete surgical resection is recommended even in asymptomatic patients to avoid complications such as infection, rupture, bleeding or malignant transformation.

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BACKGROUND: Large intracardiac bronchogenic cysts are rare mediastinal masses. However, they must always be considered in the differential diagnosis of heart failure with abnormal chest X-ray. CASE PRESENTATION: We present a 60-year-old female patient with de novo atrial fibrillation, heart failure and a very large intrapericardial mass. The patient underwent successful surgical resection, with pathological findings confirming a bronchogenic cyst. CONCLUSIONS: Large bronchogenic cysts located intrapericardially are very rare. However, they should be included in the differential diagnosis of patients presenting with atrial fibrillation and heart failure with abnormal radiologic studies.

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Bronchogenic cysts are congenital anomalies of the respiratory tract, which can affect children or adults. In adults, these cysts may be asymptomatic or present with symptoms, most often pain or cough. Intrapericardial cysts are rare and represent 27% of bronchogenic cysts. We present the case of a symptomatic adult with an intrapericardial bronchogenic cyst, who underwent surgical resection of the cyst, which successfully relieved his symptoms.

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ANTECEDENTES: Los quistes broncogénicos esofágicos son sacos cerrados originados de brotes anormales del tubo -traqueobronquial primitivo. Estas lesiones suelen ser asintomáticas, por lo que pueden hallarse incidentalmente o pueden causar síntomas por compresión de estructuras adyacentes. Son lesiones muy poco comunes; se han publicado unos 23 casos en adultos. CASO CLÍNICO: Presentamos el caso de un varón de 44 años con un cuadro de tos de larga duración, sin otro síntoma. Para descartar las causas más comunes de sus síntomas se realizan estudios que objetivan la presencia de una lesión intramural de 40 × 43 mm. Se realiza videotoracoscopia para su resección y estudio, resultando ser un quiste broncogénico. BACKGROUND: Bronchogenic cysts are close sacks originated from abnormal development of the tracheobronchial tree. These lesions are usually asymptomatic or can cause symptoms, by compression of adjacent structures. This pathology is so unusual that there are only about 23 cases published in adults. CASE REPORT: We report a case of a 44 year-old man with persistent cough, without other symptom. The most common causes for his symptoms were ruled out, so imaging studies were made, showing at the medial portion of the esophagus, located intramural a 40 × 43 mm ovoid lesion. Resected by video-assisted thoracoscopy for its study. With findings attributable to bronchogenic cyst.

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Los quistes broncogénicos son formaciones quísticas originadas por una anomalía de desarrollo del eje traqueobronquial durante la embriogénesis a partir de la pared ventral del intestino anterior. Se define al quiste broncogénico como una yema pulmonar ectópica cuya localización más frecuente es en la carina, intraparenquimatoso y en el mediastino; presenta otras localizaciones atípicas y menos comunes, como las regiones cervical, supraclavicular, esofágica, retroperitoneal y cutánea. Se presenta el caso de una mujer joven que consultó al servicio de urgencias con síntomas de dolor abdominal, a quien se le practicaron múltiples pruebas y se le diagnosticó un quiste broncogénico gástrico.

Bronchogenic cysts are cystic formations originated by a tracheobronchial axis developmental anomaly during embryogenesis from the ventral wall of the anterior intestine. A bronchogenic cyst is defined as an ectopic pulmonary bud with most frequent location in the carina, intraparenchymal and mediastinal, presenting atypical and less common locations such as the cervical, supraclavicular, esophageal, retroperitoneal, and cutaneous regions. We present the case of a young woman, who consults the emergency department with abdominal pain, who is subjected to multiple tests being diagnosed as gastric bronchogenic cyst

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BACKGRONUND: Bronchogenic cysts result from abnormal budding of the primitive tracheobronchial tube and are rare congenital cystic lesions. The location of the cyst depends on the embryological stage of abnormal budding. Although periesophageal bronchogenic cysts have been frequently reported, a completely intramural cyst is very rare. CLINICAL CASE: A 42-year-old female patient, a three-month course with retrosternal pain associated with food intake, accompanied by intermittent dysphagia to solids. Esophagogram, high resolution thoracic tomography and endoscopic ultrasound are performed, concluding a probable esophageal bronchogenic cyst. Resection is performed by video-assisted thoracic surgery, without complications. Patient presents with adequate evolution and complete remission of the symptomatology. CONCLUSION: Bronchogenic cysts of the esophageal wall are extremely uncommon lesions. Its surgical treatment is indicated to be symptomatic; video-assisted thoracoscopic surgery resection is of choice, with excellent long-term results and minimal morbidity.

ANTECEDENTES: Los quistes broncogénicos son lesiones congénitas raras que resultan de brotes anormales del tubo traqueobronquial primitivo. La localización del quiste depende de la etapa embriológica del brote anormal. Aunque los quistes broncogénicos periesofágicos han sido frecuentemente reportados, un quiste completamente intramural es muy raro. CASO CLÍNICO: Mujer de 42 años con cuadro de 3 meses de evolución, con dolor retroesternal asociado a la ingestión de alimentos, acompañado de disfagia intermitente a sólidos. Se realiza esofagograma, tomografía de tórax de alta resolución y ultrasonido endoscópico, que concluyen probable quiste broncogénico esofágico. Se realiza resección por cirugía torácica videoasistida, sin complicaciones. La paciente cursa con adecuada evolución y remisión completa de la sintomatología. CONCLUSIÓN: Los quistes broncogénicos de la pared esofágica son lesiones extremadamente poco comunes. Está indicado su tratamiento quirúrgico al ser sintomáticos; es de elección la resección por cirugía torácica videoasistida, con excelentes resultados a largo plazo y mínima morbilidad.

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Fundamentación: Los quistes broncogénicos constituyen el 10 % de las masas mediastinales en niños. Se presentan en la infancia en forma de distrés respiratorio. En niños mayores y adultos la forma de presentación es como sepsis respiratoria recurrente y con frecuencia cursan de forma asintomática, los que son diagnosticados a través de un hallazgo en una radiografía de tórax. Objetivo: Describir un caso clínico de quiste broncogénico, infrecuente en la edad adulta Presentación: Paciente de 55 años con antecedentes de enfermedad pulmonar obstructiva crónica, hipertensión arterial y diabetes mellitus tipo II, remitida del área de salud al Hospital General “Camilo Cienfuegos” de Sancti Spiritus por cuadros de sepsis respiratoria recurrentes, asociados a disnea, tos húmeda y dolor torácico. En los estudios radiológicos se constató radiopacidad en parénquima pulmonar derecho, imagen sugestiva de quiste broncogénico. Se indicó tratamiento médico, se difirió el proceder quirúrgico por clasificarse como paciente de alto riesgo por sus antecedentes patológicos. Lo novedoso del caso es lo infrecuente del diagnóstico en pacientes adultos. Conclusiones: Los quistes broncogénicos son infrecuentes diagnosticarlos en edad adulta, pueden permanecer asintomáticos o complicarse en cualquier momento de su evolución con neumonías recurrentes o sepsis respiratorias más graves. Siempre se puede definir el diagnóstico en estos casos después de descartar la presencia de una neoplasia de pulmón, no siempre es posible la resección quirúrgica.

Background: The bronchogenic cysts constitute 10% of the mediastinum masses in children. They are presented in the childhood in form of breathing distress. In bigger children and adults the presentation form is as a recurrent breathing sepsis and frequently happen in an asymptomatic way, which are diagnosed through the discovery in a thorax x-ray. Objective: To describe a clinical case of bronchogenic cyst, uncommon in mature ages. Presentation: A 55 years old patient with antecedents of chronicle obstructive lung illness, arterial hypertension and diabetes mellitus type II, remitted by the area of health to the General Hospital "Camilo Cienfuegos" of Sancti Spiritus for recurrent clinical manifestations of breathing sepsis, associated to dyspnea, humid cough and thoracic pain. In the radiological studies radiopacity was verified in right lung parenchyma, suggestive image of bronchogenic cysts. Medical treatment was indicated, it was differed for surgical proceeding to be classified as patient of high risk by its pathological antecedents. The novelty of the case is the uncommon of the diagnosis in mature patients. Conclusions: The bronchogenic cysts are uncommon to diagnose them in mature ages, they can remain asymptomatic or to get complicated in any moment of their evolution with recurrent pneumonias or more serious breathing sepsis. It can always be defined the diagnosis in these cases after discarding the presence of a lung neoplasia, it is not always possible the surgical resection.

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BACKGROUND: Bronchogenic cyst is a malformation of the ventral portion of the intestine, which is limited by bronchial epithelium and produces alterations in the development of the tracheobronchial tree. They may be single or multiple, and are usually confined to one lung or to the mediastinum, rarely to the neck, which is a subcutaneous tissue. OBJECTIVE: The case of a 9 year old girl is reported, who presented with a clinical picture characterized by a slow-growing, asymptomatic tumour on the left side of the neck of 4 years onset. Chest X-ray, neck ultrasound and computed tomography of the neck and chest ruled out any other injury. A complete resection was performed, and the histopathological study confirmed the diagnosis of bronchogenic cyst. CONCLUSION: The symptomatology of a bronchogenic cyst is due to the compression of the vascular, digestive or air structures, as well as its size, infection and location. The treatment of choice is a surgical resection, even when asymptomatic.

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