A 6-month-old infant presenting initially with clinical signs of bronc
hiolitis developed acute symptoms of large airway obstruction and resp
iratory failure despite treatment for bronchiolitis. Endotracheal intu
bation and oxygen therapy resulted in immediate and dramatic improveme
nt of respiratory failure, Plain chest radiograph, computerized tomogr
aphy and surgical biopsy with subsequent histological examination esta
blished that the respiratory failure was due to a mediastinal cystic h
ygroma.