A case of retroperitoneal bronchogenic cyst treated by laparoscopic surgery

• Published in: Hinyokika kiyo. Acta urologica Japonica Vol. 53; no. 3; p. 171
• Main Authors: Minei, Sadatsugu, Igarashi, Tomohiro, Hirano, Daisaku
• Format: Journal Article
• Language: English
• Published: Japan 01.03.2007
• Subjects: Adult; Bronchogenic Cyst - diagnostic imaging; Bronchogenic Cyst - pathology; Bronchogenic Cyst - surgery; Humans; Laparoscopy; Male; Retroperitoneal Space - diagnostic imaging; Retroperitoneal Space - surgery; Tomography, X-Ray Computed
• ISSN: 0018-1994

We describe herein a rare case of a retroperitoneal bronchogenic cyst successfully treated by laparoscopic surgery. A 39-year-old man with low-grade fever was referred to our hospital because of suspicion of an adrenal tumor. Abdominal computerized tomography (CT) and ultrasonography revealed a homogenous solid mass, 35 x 30 mm in diameter, in the left suprarenal region. Laboratory studies showed that the levels of adrenal hormones were normal except for the white blood cell count of 9,700/microL and C-reactive protein of 1.7 mg/dl. We diagnosed it as a non-functioning adrenocortical adenoma or an adrenal cyst. However, one year later he underwent laparoscopic surgery because the mass had gradually increased by 10 mm and the low-grade fever persisted. Pathological evaluation of the surgical specimens established the diagnosis of retroperitoneal bronchogenic cyst. The low-grade fever disappeared after the surgery.