Gastric bronchogenic cyst presenting as a submucosal mass: a case report

• Published in: Journal of medical case reports Vol. 6; no. 1; p. 262
• Main Authors: Seddik, Hassan, Adioui, Tarik, Rouibaa, Fadoua, El Hamdi, Fatima Zohra, Aourarh, Aziz, Mahi, Mohammed, Benkirane, Ahmed, Zentar, Aziz
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 31-08-2012; BioMed Central; BMC
• Subjects: Bronchogenic cyst; Care and treatment; Case Report; Case studies; Cysts; Diagnosis; Gastrointestinal diseases; Health aspects; Lung cancer; Magnetic resonance imaging; Proteins; Stomach
• ISSN: 1752-1947; 1752-1947
• DOI: 10.1186/1752-1947-6-262

Bronchogenic cysts are developmental anomalies of the primitive foregut which mostly occur in the lung. Gastric bronchogenic cysts are extremely rare; few cases have been reported in the literature and the diagnosis was often made following surgical resection.
A 40-year-old North African man was admitted to our hospital with a gastric submucosal mass. An endoscopic ultrasound revealed a unilocular cystic mass located in the muscular layer. Its content was echogenic suggestive of mucus. Magnetic resonance imaging confirmed the liquid nature of the cyst and showed a high ratio of proteins. Based on these observations, the diagnosis of bronchogenic cyst was confirmed. An endoscopic monitoring was decided rather than surgery because of the small size of the cyst and the absence of symptoms.
Although gastric bronchogenic cysts are rare, they should be well known and considered in all differential diagnoses of gastric tumors. We report a new case of gastric bronchogenic cyst and highlight the contribution of morphological tests that currently allow a non-invasive diagnosis.