Fırat Üniversitesi Tıp Fakültesi Göğüs Cerrahisi AD, Elazığ

Bronchogenic cysts of the mediastinum are rare and may be asymptomatic at diagnosis. Complete surgical resection of the cyst is the standard therapy. We present a 50-year-old woman with a bronchogenic cyst in the mediastinum that led to complaints of exertional dyspnea, fatigue, chest and back pain. A posteroanterior chest radiograph showed enlargement of the upper mediastinum. Computed tomography showed a cystic lesion in the upper mediastinum, 5x4 cm in size, with paravertebral and paratracheal localization. It was close to the superior vena cava anteriorly, but there was no sign of compression. The lesion was excised via a right lateral thoracotomy. A posteroanterior chest radiograph and computed tomography scan obtained in the third postoperative month showed no residual signs of the lesion. The patient was symptom-free in the fifth postoperative month.