title: Lung-sparing approach for an intrapulmonary bronchogenic cyst involving the right upper and middle lobes.
abstract: Intrapulmonary bronchogenic cysts (IBC) represent 20% of abnormal budding of the respiratory tract. Lobectomy is the recommended treatment for IBC in symptomatic adults. We presented a case of a patient with an IBC involving the right upper and middle lobes (RUL-RML). A 27-year-old woman presented with a 2-month history of thoracic pain, cough and haemoptysis. An opacity was found on the chest X-ray. High-resolution CT/MRI showed a 7×4.5 cm marginated mass with an air bubble inside. A video-assisted thoracoscopic surgery was performed. The cyst was neither palpable nor visible. An intraoperative ultrasonography localised the cyst involving the RUL-RML. The lung above the cyst was incised, and a greenish-mucoid content was aspirated. A branch of the superior pulmonary vein was visible. The remaining cystic wall was cauterised. The patient was discharged on day 4. Histology confirmed the IBC. The patient is asymptomatic at a 16-month follow-up. The lung-sparing operation in a young woman with IBC involving the RUL-RML has been beneficial. A long-term follow-up is mandatory.
authors.affiliation: Section of Thoracic Surgery, Department of Surgery, University of Catania, Catania, Italy.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Criscione
authors.forename: Adriana
authors.initials: A
authors.lastname: Scamporlino
authors.forename: Damiano
authors.initials: D
authors.lastname: Calvo
authors.forename: Marcello
authors.initials: M
authors.lastname: Migliore
mesh_terms: D000328:Adult; D001994:Bronchogenic Cyst / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008168:Lung / Q000473:pathology / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods