# Case Report: Retroperitoneal bronchogenic cyst of imaging features and pathological analysis in a young female

## TL;DR

A rare case of a bronchogenic cyst in the retroperitoneum of a young woman is reported, emphasizing the challenges in diagnosis and the need for imaging and pathology correlation.

## Contribution

This case report adds to the limited literature on retroperitoneal bronchogenic cysts and highlights diagnostic challenges in non-specific imaging.

## Key findings

- The cyst was located in the hepatorenal space and adhered to the lower esophagus and gastroesophageal junction.
- Imaging features were non-specific, making differential diagnosis difficult.
- Histopathological analysis was essential for confirming the diagnosis.

## Abstract

Bronchogenic cysts are cystic lesions arising from the bronchial epithelium. They are very rare in the retroperitoneum. In this report, we present the case of a young woman found to have a cystic mass in the hepatorenal space during a routine health examination. Imaging studies confirmed a cystic lesion, and surgical excision revealed adherence to the lower esophagus and gastroesophageal junction. This retroperitoneal location, along with non-specific imaging features overlapping with other benign masses, poses a significant diagnostic challenge. The imaging appearance of bronchogenic cysts can be variable, complicating clinical diagnosis. We highlight the critical importance of correlating imaging with histopathological examination for accurate diagnosis. Although typically benign, potential complications and the risk of misdiagnosis warrant clinical vigilance. In summary, in this case, we tried to present clinical findings and management. We aimed to provide a foundation for future studies on the epidemiological characteristics of this disease.