Nafi AYGÜN, Atilla ARSLANOĞLU, Hayati BİLGİÇ

Gross mural cartilage in a congenital bronchogenic cyst: MRI features

Doğum sonrasında kardiyak üfürümü olan hasta ekokardiyografi ile incelendi. Rastlantısal olarak, üst mediastende kalpile ilişkisi olmayan 1 cm çapında kistik alan saptandı. Manyetik rezonans görüntüleme (MRG)’de üst mediastende ve altservikal bölgede 4 x 4.5 x 8 cm boyutunda kist izlendi. Ameliyat esnasında, MRG’de kistin duvarına yapışmış sert kartilajdokusu ayırt edilebildi. Bronkojenik kist ile birlikte bu şekilde gross kartilaj dokusu daha önceki çalışmalarda raporedilmemiştir. Sonuç olarak bronkojenik kistler, duvarında gros kartilaj dokusuna sahip olabilir ve ekstratorasik boşluklara uzanarak, teratom ve kistik lenfanjiyomları taklit edebilir.

Konjenital bronkojenik kist olgusunda makroskobik kıkırdak dokusu: MRG bulguları

An infant who had a cardiac murmur after the delivery was evaluated with echocardiogram. A 1 cm cystic area was incidentally identified in the upper right mediastinum, that was not related with the heart. A 4 x 4.5 x 8 cm cystic mass in the superior mediastinum and lower neck was demonstrated on the magnetic resonance imaging (MRI). At surgery, a small solid structure corresponding to the nodule seen on MRI was identified, which was firm and cartilaginous in nature and attached to the wall of the cyst. Grossly visible cartilage in association with a bronchogenic cyst has not been previously reported. In conclusion, the bronchogenic cysts can have grossly visible cartilage in their wall and extend to extra thoracicspaces in a contiguous fashion, mimicking other entities such as teratomas and cystic lymphangiomas.

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