1/4. Unusual presentation of a large tension bronchogenic cyst in an adult.A routine chest radiograph in a 20 year old man revealed a giant air filled cavity of the left hemithorax under tension. At thoracotomy a large left lower lobe intraparenchymal cyst required lobectomy and the pathological findings were consistent with a bronchogenic cyst. Although tension bronchogenic cysts are common in infants, this case demonstrates their unusual presentation in an adult.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/4. Giant bronchogenic cyst presenting as a lobar emphysema in a newborn.Bronchogenic cysts are relatively uncommon congenital lesions. Because of the variability in clinical presentation and the shortcomings of diagnostic procedures, bronchogenic cysts present a diagnostic problem. This report describes a giant bronchogenic cyst that presented as a lobar emphysema in a newborn.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
3/4. Giant bronchogenic cyst masquerading as tension pneumothorax. Radiographic and CT findings.Pulmonary bronchogenic cysts with tracheobronchial communication may occasionally mimic tension pneumothorax leading to unnecessary thoracostomy. We describe such a case to emphasize that cautious identification of the direction of displacement of the collapsed lung tissue on chest radiograph or computed tomography (CT) may help in differentiating these two diseases. Tension pneumothorax should lead to centripetal compression of the ipsilateral lung toward the hilum while giant bronchogenic cysts result in centrifugal displacement of the adjacent lung away from the hilum.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
4/4. Fatal air embolism in an airplane passenger with a giant intrapulmonary bronchogenic cyst.Considering the large number of airplane passengers with a variety of medical conditions, the incidence of in-flight emergencies on commercial airline flights is low. Only few cases of pulmonary barotrauma in airplane passengers with prior lung pathologies have been reported. We present the unusual case of a female airplane passenger with a previously diagnosed asymptomatic giant intrapulmonary bronchogenic cyst who experienced fatal air embolism on a commercial airline flight. We believe that preventive surgical resection is mandatory in asymptomatic patients with large intrapulmonary cysts prior to exposure to even small alterations in ambient pressure as, for instance, prior to airplane flight or use of mountain cable cars. However, screening for pre-existent lung pathologies in the growing mass of commercial airline travelers is not justified.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |