Contrast magnetic resonance imaging diagnosis of periaortic bronchogenic cyst.
A 39-year-old woman who had suffered from intermittent left back pain for 7 months was diagnosed as having a tumor in the posterior mediastinum to the left of the seventh thoracic vertebra. It was attached to the descending aorta and to a rib. Preoperative contrast magnetic resonance imaging strongly suggested that the tumor was a cystic lesion. We resected the tumor, and it was revealed to be a bronchogenic cyst. After 7 months' follow-up, the patient is asymptomatic and without complications. Bronchogenic cysts are rare developmental abnormalities of the primitive foregut and seldom arise in the posterior mediastinum, especially in a periaortic position. The preoperative diagnosis is difficult because of the diverse nature of a cyst's contents. We were able to predict preoperatively the nature of the tumor and its relation to other structures. Contrast magnetic resonance imaging is helpful in elucidating these cysts.
Komoda
Satsuki
S
Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. satsuki@dhzb.de
Komoda
Takeshi
T
Paetsch
Ingo
I
Pasic
Miralem
M
Meyer
Rudolf
R
Hetzer
Roland
R
D000328:Adult; D001013:Aorta, Thoracic; D001994:Bronchogenic Cyst / Q000175:diagnosis* / Q000601:surgery; D003287:Contrast Media; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging
D003287:Contrast Media