Abstract

A bronchogenic cyst is a rare congenital malformation. It occurs due to the development of buds in any part of the tracheobronchial area. It can also lead to fatal complications, especially in the early stages of life. However, data on its diagnosis and treatment are scarce, owing to the rarity of the disease. This review article aimed at evaluating the literature on the manifestations of intramural bronchogenic cysts in the pediatric population. Medical databases were examined thoroughly to explore eligible articles for inclusion. Twenty-three articles appeared in the search result. The produced reports were evaluated against the predecided inclusion criteria. After reviewing the literature, eight articles were eligible for inclusion in this review. The included articles were published between 2000 and 2020. An intramural bronchogenic cyst is a rare condition that should not be neglected in a differential diagnosis. Surgical excision is currently the recommended management strategy. Further extensive studies about the management of the complications of intramural bronchogenic cysts are needed.

Highlights

  • BackgroundBronchogenic cysts have been defined as congenital malformations that are usually coated with epithelium and cilia [1]

  • Evidence-based data from well-designed articles are scarce due to the disease’s very low prevalence [12]. With these issues in mind, this review aims to examine the literature on the clinical manifestations of intramural bronchogenic cysts in the pediatric patient population

  • Intramural bronchogenic cysts are rare pulmonary lesions that should be approached with caution when identified in the pediatric patient population

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Summary

Introduction

Bronchogenic cysts have been defined as congenital malformations that are usually coated with epithelium and cilia [1]. For other types of bronchogenic cysts, surgical removal should be the preferred treatment [10,18] This can help reduce the incidence of complications and offers the possibility to confirm the diagnosis through direct tissue examination [20]. Cysts that are small and located in the carinal area should be excised as early as possible, especially if they are not connected to any surrounding tissues [4,19] This can significantly reduce the incidence of complications [5]. Surgical intervention may be associated with complications in cases where cysts are adherent to surrounding tissue, making total excision more challenging [6,19].

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