Minei Sadatsugu, Igarashi Tomohiro, Hirano Daisaku
Department of Urology, The Kitasato Institute Hospital.
Hinyokika Kiyo. 2007 Mar;53(3):171-4.
We describe herein a rare case of a retroperitoneal bronchogenic cyst successfully treated by laparoscopic surgery. A 39-year-old man with low-grade fever was referred to our hospital because of suspicion of an adrenal tumor. Abdominal computerized tomography (CT) and ultrasonography revealed a homogenous solid mass, 35 x 30 mm in diameter, in the left suprarenal region. Laboratory studies showed that the levels of adrenal hormones were normal except for the white blood cell count of 9,700/microL and C-reactive protein of 1.7 mg/dl. We diagnosed it as a non-functioning adrenocortical adenoma or an adrenal cyst. However, one year later he underwent laparoscopic surgery because the mass had gradually increased by 10 mm and the low-grade fever persisted. Pathological evaluation of the surgical specimens established the diagnosis of retroperitoneal bronchogenic cyst. The low-grade fever disappeared after the surgery.
我们在此描述一例罕见的经腹腔镜手术成功治疗的腹膜后支气管源性囊肿病例。一名39岁低热男性因疑似肾上腺肿瘤被转诊至我院。腹部计算机断层扫描（CT）和超声检查显示左肾上腺区域有一个直径35×30毫米的均匀实性肿块。实验室检查表明，除白细胞计数为9700/微升和C反应蛋白为1.7毫克/分升外，肾上腺激素水平正常。我们将其诊断为无功能肾上腺皮质腺瘤或肾上腺囊肿。然而，一年后他接受了腹腔镜手术，因为肿块逐渐增大了10毫米且低热持续存在。手术标本的病理评估确诊为腹膜后支气管源性囊肿。术后低热消失。
