Korean Journal of Pediatrics  2005;48(3):333-336

A Case of Bronchogenic Cyst with Nausea and Epigastric Pain.

Ji Hyun KIM 1 ; Kang Won RHEE ; In Seok LIM ; Byung Hoon YOO ; Eung Sang CHOI

Affiliations

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Keywords

Bronchogenic cyst; Mediastinal mass; Symptom; Nausea; Epigastric pain

Country

Republic of Korea

Language

Korean

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.