- Email: [email protected]
INSIGHTS
INSIGHTS
Bronchogenic cyst masquerading as asthma An 18-month-old boy was referred for evaluation of recurrent pneumonia and wheezing. He was born at term. a product of an uneventful pregnancy and delivery; his neonatal course was uneventful. Starting at 4 months of age. he had recurrent wheezing thought to be a result of bronchial asthma. Frontal and lateral roentgenograms of the chest. taken at 17 months of age. revealed a large. homogeneous. radiopaque density in the right hilar region (Fig. I). Computed tomography of the chest with contrast medium demonstrated the density to be a subcarinal. fluid-filled cyst compressing the bronchus intermedius [arrow] (Fig. 2). The patient underwent thoracotomy and surgical removal of the mass. confirmed pathologically to be a bronchogenic cyst. Subsequently the patient has been free of any respiratory symptoms and signs. including wheezing.
Ibrahim Janahi, MD. and Leland L. Fan. MD Peuiatric Pulmonary Section. Department of Pediatrlc.l, Baywr College ofMedicine, HOllJton, Tt.1:(IJ
FiglUY2
FiglUY 1 J Pediatr 1998;133:166. Copyright © 1998 by Mosby. Inc. 0022-3476198/$5.00 + 0
166
9/45188443
Bronchogenic cyst masquerading as asthma An 18-month-old boy was referred for evaluation of recurrent pneumonia and wheezing. He was born at term. a product of an uneventful pregnancy and delivery; his neonatal course was uneventful. Starting at 4 months of age. he had recurrent wheezing thought to be a result of bronchial asthma. Frontal and lateral roentgenograms of the chest. taken at 17 months of age. revealed a large. homogeneous. radiopaque density in the right hilar region (Fig. I). Computed tomography of the chest with contrast medium demonstrated the density to be a subcarinal. fluid-filled cyst compressing the bronchus intermedius [arrow] (Fig. 2). The patient underwent thoracotomy and surgical removal of the mass. confirmed pathologically to be a bronchogenic cyst. Subsequently the patient has been free of any respiratory symptoms and signs. including wheezing.
Ibrahim Janahi, MD. and Leland L. Fan. MD Peuiatric Pulmonary Section. Department of Pediatrlc.l, Baywr College ofMedicine, HOllJton, Tt.1:(IJ
FiglUY2
FiglUY 1 J Pediatr 1998;133:166. Copyright © 1998 by Mosby. Inc. 0022-3476198/$5.00 + 0
166
9/45188443