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Resident's Forum |

Adrenal and Pancreatic Presentation of Subdiaphragmatic Retroperitoneal Bronchogenic Cysts

Raphael El Youssef, MBBS; Maria Fleseriu, MD; Brett C. Sheppard, MD
Arch Surg. 2010;145(3):302-304. doi:10.1001/archsurg.2010.12.
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Bronchogenic cysts are aberrations of normal development throughout the embryonic foregut; abdominal or retroperitoneal presentations are rare. They will often present a diagnostic dilemma because their appearance can mimic other, more common diagnoses. The initial work-up, differential diagnosis, management, and follow-up may present clinical challenges. We present 1 case of an adrenal lesion and 1 case of a pancreatic lesion that were revealed to be retroperitoneal bronchogenic cysts after surgical extirpation.

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Figure 1. Magnetic resonance image showing a smooth, bilobed cystic mass in the left retroperitonium (A). Histologic findings included ciliated columnar epithelial cyst wall cells with associated glandular tissue (hematoxylin-eosin, original magnification ×400) (B).

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Figure 2. Magnetic resonance imaging showing a cystic mass in the pancreas (A). Histologic findings included heterogeneous epithelium cells consisting of bland, ciliated, respiratory-like epithelium cells and focally mucinous epithelium surrounded by a well-developed smooth muscle wall (hematoxylin-eosin, original magnification ×300) (B).

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