Bronchogenic cyst of the gastric fundus in a young woman

Abstract

Most bronchogenic cysts (BCs) are found within the medistinum and lung [1]. Extrathoracic and subdiaphragmatic BCs are ery rare, and BCs of the stomach are even more rarely seen. A 25ear-old woman presented to our hospital with a 1-week history f epigastric pain. An upper gastrointestinal radiography revealed a harply demarcatedmass in the gastric fundus (Fig. 1a). An esophaogastroduodenoscopy revealed a 3.0 cm×2.5 cm×2.0 cm smooth ass with normal overlying mucosa in the gastric fundus (Fig. b), and simultaneously provided evidence of antral gastritis (Fig. c). Considering the uncertain diagnosis, computed tomography or ndoscopic ultrasonographywas suggested, but the patient refused ecause of financial issues. Gastrointestinal stromal tumour was onsidered preoperatively. Thus, proximal hemigastrectomy was lanned. At laparotomy, a soft mass, arising from the gastric fundus as felt and yellowmucous fluid gushed out after the correspondng stomach wall was opened. The frozen section analysis of the iopsy specimen indicated a gastric cyst but no malignant cells. ence, a wedge resection of the fundus containing the cyst was erformed. The postoperative course was uneventful and she was ischarged 7 days after surgery. Histological studies of the surgial specimen revealed a cyst lined with pseudostratified ciliated olumnar epithelium and surrounded by smooth muscle (Fig. 2), nd the final diagnosis was of a gastric bronchogenic cyst.