Akos Molnár Béla, Péter Kaliszky, Edina Nagy, János Horányi, Eszter Székely
Semmelweis Egyetem, Altalános Orvostudományi Kar, I. sz. Sebészeti Klinika, Budapest.
Magy Seb. 2006 Feb;59(1):37-41.
The retroperitoneal bronchogenic cyst is an extremely rare anomaly. During the examination of an 18-year-old female patient due to her extreme thinness, the abdominal ultrasound and later the CT indicated as an accidental finding--a left side adrenal/suprarenal adenoma, which turned out to be hormonally inactive. But while we were doing a laparoscopic surgical intervention we found a 6-8-cm cyst in the retroperitoneum, between the greater curvature and the spleen. It contained light grey, mucinous liquid. The left suprarenal gland had normal size and appearance. During the microscopic examination the removed terime showed cystic structures, which were covered inside with multilayer ciliated columnar epithelium, mucous excretory glands, a whole layer of connective/interstitial and smooth muscle tissue. Neither cartilage, nor gastrointestinal epithelium was found. Only a few publications have reported about retroperitoneal bronchogenic cyst so far. These lesions occur very rarely at the greater curvature. Although this alteration is really unusual, bronchogenic cysts have to be expected in the differential diagnostics of the retroperitoneal tumors.
腹膜后支气管源性囊肿是一种极其罕见的异常情况。在对一名18岁极度消瘦的女性患者进行检查时，腹部超声及随后的CT检查意外发现左侧肾上腺/肾上腺腺瘤，结果显示该腺瘤无激素活性。但在进行腹腔镜手术干预时，我们在胃大弯和脾脏之间的腹膜后发现了一个6 - 8厘米的囊肿。囊肿内含有浅灰色的黏液性液体。左肾上腺大小和外观正常。在显微镜检查中，切除的标本显示为囊性结构，内部覆盖着多层纤毛柱状上皮、黏液排泄腺、一整层结缔组织/间质和平滑肌组织。未发现软骨和胃肠道上皮。迄今为止，仅有少数关于腹膜后支气管源性囊肿的报道。这些病变在胃大弯处非常罕见。尽管这种改变确实不常见，但在腹膜后肿瘤的鉴别诊断中必须考虑到支气管源性囊肿。
