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Endoscopic Ultrasound Through-the-Needle Biopsy for the Diagnosis of an Abdominal Bronchogenic Cyst
- Source :
- Clinical Endoscopy, Vol 54, Iss 5, Pp 767-770 (2021), Clinical Endoscopy
- Publication Year :
- 2021
-
Abstract
- A 57-year-old woman with epigastric pain was diagnosed with a 6-cm abdominal cystic lesion of unclear origin on cross-sectional imaging. Endoscopic ultrasound (EUS) demonstrated a unilocular cyst located between the pancreas, gastric wall, and left adrenal gland, with a regular wall filled with dense fluid with multiple hyperechoic floating spots. A 19-G needle was used to puncture the cyst, but no fluid could be aspirated. Therefore, EUS-guided through-the-needle biopsy (EUS-TTNB) was performed. Histological analysis of the retrieved fragments revealed a fibrous wall lined by “respiratory-type” epithelium with ciliated columnar cells, consistent with the diagnosis of a bronchogenic cyst. Laparoscopic excision was performed, and the diagnosis was confirmed based on the findings of the surgical specimen. Abdominal bronchogenic cysts are extremely uncommon, and a definitive diagnosis is commonly obtained after the examination of surgical specimens due to the lack of pathognomonic findings on cross-sectional imaging and poor cellularity on EUS-guided fine-needle aspiration cytology. EUS-TTNB is useful for establishing a preoperative histological diagnosis, thus supporting the decision-making process.
- Subjects :
- Endoscopic ultrasound
medicine.medical_specialty
Bronchogenic cyst
Medicine (miscellaneous)
Case Report
RC799-869
Epigastric pain
Endoscopic ultrasound-guided fine needle aspiration
Endoscopic ultrasound-guided through-the-needle biopsy
Laparoscopy
Pancreatic cyst
03 medical and health sciences
0302 clinical medicine
Pathognomonic
Biopsy
medicine
Radiology, Nuclear Medicine and imaging
Cyst
endoscopic ultrasound-guided fine-needle aspiration
Internal medicine
medicine.diagnostic_test
business.industry
Gastroenterology
Diseases of the digestive system. Gastroenterology
medicine.disease
RC31-1245
digestive system diseases
medicine.anatomical_structure
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Radiology
Pancreas
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Clinical Endoscopy, Vol 54, Iss 5, Pp 767-770 (2021), Clinical Endoscopy
- Accession number :
- edsair.doi.dedup.....d15dca84772266edeac73d1a2dba136c