{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T10:47:58Z","timestamp":1776682078075,"version":"3.51.2"},"reference-count":8,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T00:00:00Z","timestamp":1673568000000},"content-version":"unspecified","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,12,28]]},"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>Bronchogenic cysts (BCs) are congenital foregut malformations and usually asymptomatic, thin-walled, incidentally diagnosed cysts which can be easily resected by a minimal invasive approach at this time point. However, they may develop symptoms such as infection, bleeding or compression of adjacent structures. There is no consensus about the risk of developing complications during a lifetime; however, recent reports suggest a higher incidence than initially believed. Here, we report a case of severe life-threatening mediastinitis emerging from an infected BC requiring complex surgery, which could have been avoided if surgery had been performed at an early, asymptomatic stage.<\/jats:p>","DOI":"10.1136\/bcr-2022-253099","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T11:00:43Z","timestamp":1673607643000},"page":"e253099","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Severe mediastinitis caused by an infected bronchogenic cyst"],"prefix":"10.1136","volume":"16","author":[{"given":"Evangelos","family":"Koliakos","sequence":"first","affiliation":[{"name":"Thoracic Surgery, Valais Romand Hospital Center, Sion, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evangelos","family":"Kalogiannis","sequence":"additional","affiliation":[{"name":"General Surgery, Valais Romand Hospital Center, Sion, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Gussago","sequence":"additional","affiliation":[{"name":"General Surgery, Valais Romand Hospital Center, Sion, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Christodoulou","sequence":"additional","affiliation":[{"name":"Thoracic Surgery, Valais Romand Hospital Center, Sion, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,1,13]]},"reference":[{"key":"2025082701542816000_16.1.e253099.1","doi-asserted-by":"crossref","DOI":"10.1186\/s13019-021-01511-0","article-title":"Surgery in congenital lung malformations: the evolution from thoracotomy to VATS, 10-year experience in a single center","volume":"16","author":"Ceylan","year":"2021","journal-title":"J Cardiothorac Surg"},{"key":"2025082701542816000_16.1.e253099.2","doi-asserted-by":"crossref","first-page":"2449","DOI":"10.1111\/1759-7714.13555","article-title":"Clinical characteristics and management of primary mediastinal cysts: a single-center experience","volume":"11","author":"Wang","year":"2020","journal-title":"Thorac Cancer"},{"key":"2025082701542816000_16.1.e253099.3","doi-asserted-by":"crossref","first-page":"225","DOI":"10.5761\/atcs.oa.20-00244","article-title":"Prognostic factors and long-term results in patients who underwent Videothoracoscopic bronchogenic cyst excision","volume":"27","author":"Aker","year":"2021","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"2025082701542816000_16.1.e253099.4","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(99)00226-2"},{"key":"2025082701542816000_16.1.e253099.5","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-228032","article-title":"Large air-filled intrapulmonary bronchogenic cyst associated with tension pneumothorax during air travel","volume":"12","author":"Bayfield","year":"2019","journal-title":"BMJ Case Rep"},{"key":"2025082701542816000_16.1.e253099.6","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2010.233114"},{"key":"2025082701542816000_16.1.e253099.7","doi-asserted-by":"crossref","first-page":"2504","DOI":"10.21037\/jtd.2016.08.29","article-title":"Video-Assisted thoracic surgery compared with posterolateral thoracotomy for mediastinal bronchogenic cysts in adult patients","volume":"8","author":"Guo","year":"2016","journal-title":"J Thorac Dis"},{"key":"2025082701542816000_16.1.e253099.8","doi-asserted-by":"crossref","first-page":"105","DOI":"10.21037\/jtd.2019.08.105","article-title":"Robot-Assisted thoracoscopic surgery for mediastinal masses: a single-institution experience","volume":"12","author":"Chen","year":"2020","journal-title":"J Thorac Dis"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-253099","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:54:37Z","timestamp":1756284877000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-253099"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,1,13]]},"published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1136\/bcr-2022-253099"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-253099","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]}}}