A 60-year-old man presented to the Emergency Department (ED) complaining of cough of 3 months duration. He had been prescribed antitussives in clinics for presumed bronchitis. However, the cough did not respond to treatment and was followed by one episode of hemoptysis the night before his ED presentation. The patient did not smoke and denied fever, body weight loss, or dyspnea. A chest radiograph was taken and a soft-tissue lesion with an air-fluid level was seen in the mediastinum (Figure 1). A computed tomography (CT) scan of the chest demonstrated a bilocular cystic lesion beneath the carina (Figure 2). Thoracotomy showed a 5 × 5-cm cystic lesion with jelly-like content in the mediastinum. Examination of the pathologic specimen revealed ciliated columnar epithelium and bronchial mucous glands consistent with a bronchogenic cyst. The patient had an uneventful postoperative course.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Emergency Medicine
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Bronchogenic cyst: clinicopathological presentation and treatment.Eur Respir J. 1996; 9: 2017-2021
- Non-neoplastic mediastinal cysts.Eur J Cardiothorac Surg. 2002; 22: 712-716
- Bronchogenic cyst.Tex Heart Inst J. 2003; 30: 105-108
- Surgical management and radiologic characteristics of bronchogenic cysts.Ann Thorac Surg. 1993; 55: 476-481
- Clinical spectrum of bronchogenic cysts of the mediastinum and lung in the adult.Ann Thorac Surg. 1991; 52: 6-13
Published online: August 26, 2008
Accepted: December 9, 2007
Received in revised form: November 27, 2007
Received: June 21, 2007
© 2010 Published by Elsevier Inc.