Tsai Ming-Han, Chu Shih-Ming, Huang Shiu-Feng
Department of Pediatrics, Chang Gung Children's Hospital, 5 Fu-Hsin Street, Kwei-Shan 333, Taoyuan, Taiwan.
Acta Paediatr Taiwan. 2003 Sep-Oct;44(5):307-9.
Esophageal duplication cysts account for a small percentage of benign esophageal tumors and are frequently asymptomatic. Diagnosis is difficult, and patients often seek treatment when complications such as respiratory distress, bleeding, or infection develop. Surgical excision is recommended at the time of cyst discovery whether or not symptoms are present. We report 2 newborn cases with esophageal duplication cysts. Symptoms included respiratory distress and palpable neck mass. Computed tomography demonstrated cystic masses in the retropharyngeal space. Both patients underwent surgical resection of the cyst and the symptoms were relieved. Histopathologic examination revealed esophageal duplication cysts.
食管重复囊肿占良性食管肿瘤的比例较小,且常无症状。诊断困难,患者常在出现呼吸窘迫、出血或感染等并发症时才寻求治疗。无论有无症状,在发现囊肿时均建议手术切除。我们报告2例新生儿食管重复囊肿病例。症状包括呼吸窘迫和可触及的颈部肿块。计算机断层扫描显示咽后间隙有囊性肿块。两名患者均接受了囊肿手术切除,症状得到缓解。组织病理学检查显示为食管重复囊肿。