Multiple bronchogenic cysts in the mediastinum

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Abstract
Bronchogenic cysts are rare congenital anomalies. They are formed as an abnormal budding or branching from the tracheobronchial tree which derives from the primitive ventral foregut. Although bronchogenic cysts most frequently develop within pulmonary parenchyma or mediastinum, they may also be found within the pericardium or in the diaphragm. Unlike pulmonary bronchogenic cysts, the mediastinal variety rarely communicates with the tracheobronchial tree and has been reported as always solitary. This report presents a case with two bronchogenic cysts located in the mediastinum. On review of literature we found no case report of multiple mediastinal bronchogenic cysts. Thus it appears to be the first case report of two mediastinal bronchogenic cysts. A 40-year-old female was admitted to hospital on August 8, 1972, with the complaint of intermittent haemoptysis of two weeks' duration. Past history consisted of two episodes of pneumonia in 1939. Her father died of bronchogenic carcinoma, and a female cousin had a bronchial adenoma which was removed. She was taking birth control medications. Physical examination on admission was within normal limits except for some coarse rales and bronehovesicular breathing in the right upper posterior lung field. All laboratory work up was within normal limits.

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