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Ann Thorac Surg 2008;85:2114-2116. doi:10.1016/j.athoracsur.2007.12.051
© 2008 The Society of Thoracic Surgeons

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Hakan Kiral
Cagatay Saim Tezel
Altug Kosar
Murat Keles
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Case Reports

Clinicopathologic Demonstration of Complex Bronchopulmonary Foregut Malformation

Hakan Kiral, MDa, Cagatay Saim Tezel, MDb,*, Altug Kosar, MDa, Murat Keles, MDa

a Department of Thoracic Surgery, Sureyyapasa Chest Disease and Thoracic Surgery Teaching and Research Hospital, Istanbul, Turkey
b Department of Thoracic Surgery, Haydarpasa Numune Teaching and Research Hospital, Istanbul, Turkey

Accepted for publication December 18, 2007.

* Address correspondence to Dr Tezel, Yazmaci Tahir sok 51/9 A Blok, Bostanci-Istanbul, 34744, Turkey (Email: mdcagatay{at}hotmail.com).

Bronchopulmonary foregut malformations are rare and often prove to be extremely difficult to diagnose. The presented case is a 44-year-old man complaining about cough and hemoptysis. These symptoms continued despite medical treatment. A computed thorax tomographic scan depicted a paravertebral cystic lesion. The patient underwent surgical exploration, and communication between the cyst and the esophagus was found. A left lower lobectomy was performed. The pathologic result confirmed a duplication cyst of mixed bronchogenic and esophageal type with bronchiectasis of the lower lobe. We present this unusual malformation complex especially in an adult with the review of the literature.







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