Incidental Finding of Bronchogenic Cyst During Laparoscopic Sleeve Gastrectomy: OAJBS Publishers

Incidental Finding of Bronchogenic Cyst During Laparoscopic Sleeve Gastrectomy by Raja Wakim* in Open Access Journal of Biomedical Science (OAJBS)

Background: Bronchogenic cysts are exceptional congenital malformations, mostly diagnosed in children, rarely in adults. They are usually found in an intrathoracic region. We report a rare case of an intra-abdominal bronchogenic cyst located over the gastroesophageal junction identified incidentally during a laparoscopic sleeve gastrectomy. 

Case Presentation: A 37-year-old female with a BMI of 40 kg/m2 was admitted for a laparoscopic sleeve gastrectomy. During the procedure, a bulging lesion was incidentally identified adherent to the gastroesophageal junction. An intra-operative gastroscopy performed revealed signs of a mass effect above the GE junction and no signs of intra-gastric tumor. The decision of enucleation of the cystic lesion and abortion of the sleeve gastrectomy was taken. Approximation of the esophageal muscular layer was performed afterwards. The patient’s post-operative hospital course was uneventful and imaging results showed no leaks or abnormalities. The final pathology results of the lesion revealed a bronchogenic cyst with no signs of malignancy. 

Discussion and Conclusion: Management of an incidental tumor at the GE junction can be very challenging. In our case, we opted for its resection while aborting the initial procedure to prevent further injuries to the esophagus. Excision of the tumor after an EUS would have been a valid option as well. Therefore, we highly recommend routine gastroesophageal endoscopy prior to any bariatric surgery.
https://biomedscis.com/fulltext/incidental-finding-of-bronchogenic-cyst-during-laparoscopic-sleeve-gastrectomy.ID.000301.php

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