PMC5384289_01
Contrast enhanced computed tomography of abdomen showing a large gastric mass with heterogenous content and enhancing wall arising from the posterior wall of the gastric cardia and its relation with the esophagus, diaphragm and splenic hilum in the axial (a, b), coronal (b) and sagittal view (d).
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Computed tomography (CT) showed a large mass of 7 x 8 cm in relation to the gastric cardia with regular outlines and heterogeneous enhancement (Fig. 1).
Schematic diagram showing the location of the bronchogenic cyst and its relation with the surrounding structures. The dotted lines represent the extent of surgical resection.
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On abdominal exploration, an exophytic mass measuring 8 x 7 cm was found arising from the gastric cardia adherent to the adjoining diaphragm and encroaching upon the splenic hilum (Fig. 2).
Microscopic examination of the cyst wall shows pseudostratified columnar ciliated epithelium without cellular atypia along with the surrounding smooth muscle fiber bundles (HE x 200).
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Histopathological examination of the resected specimen revealed a sub-mucosal cyst lined by PCCE without cellular atypia (Fig. 3). The cystic wall consisted of smooth muscle fibers with focal mucous glands showing hemorrhagic remodeling with hemosiderin deposits (Fig. 3, Fig. 4).