All issues > Volume 48(3); 2005

Case Report

Korean J Pediatr. 2005;48(3):333-336. Published online March 15, 2005.

A Case of Bronchogenic Cyst with Nausea and Epigastric Pain

Ji-Hyun JH Kim¹, Kang-Won KW Rhee¹, In-Seok IS Lim¹, Byung-Hoon BH Yoo¹, Eung-Sang ES Choi¹

¹Departments of Pediatrics, College of Medicine, Chung Ang University, Seoul, Korea

Correspondence In-Seok IS Lim ,Email: inseok@cau.ac.kr

Abstract

Bronchogenic cysts are rare congenital anomalies that arise early in gestation from abnormal budding of the developing respiratory system. Mediastinal bronchogenic cysts account for 10-15 percent of all primary mediastinal masses; 63.7 percent of patients are symptomatic. Common symptoms are fever, chest pain, cough, dyspnea, and dysphagia. Gastrointestinal symptoms except dysphagia are rare. It can be life threatening with compression, infection, hemorrhage, or rupture. Symptoms and signs of compression are more frequent in infants and children than in adults. It may be asymptomatic, or cough, infection, and hemoptysis may be observed. Complete excision is recommended. We report a case of bronchogenic cyst misdiagnosed as chronic gastritis with nausea and epigastric pain for a year.

Keywords :Bronchogenic cyst , Mediastinal mass , Symptom , Nausea , Epigastric pain