Gastric cardia bronchogenic cyst with prolonged belching.

A 65-year-old man presented with a 15-year history of belching, accompanied by intermittent epigastric pain. She had undergone abdominal computed tomography 5 years earlier, which showed a cystic mass in the gastric cardia (asterisk), measuring 4 cm × 3 cm in size. His symptoms worsened recently, especially when consuming stimulating food or after emotional excitement. Repeated abdominal computed tomography showed similar cystic mass in the gastric cardia (asterisk), with small quantity of peripheral calcification. Laparoscopic resection of the cystic mass was performed. Histopathologic examination confirmed the diagnosis of bronchogenic cyst, with internal coffee colored liquid and partial cyst wall calcification. The symptom of belching disappeared after surgery and the patient was feeling well at 2 months of follow-up.