Orellana Franco, Cárdenas Rubén, Manríquez María Eugenia, Ríos Horacio, Suárez Leopoldo, Videla Domingo
Servicio de Cirugía, Hospital Militar de Santiago, Chile.
Rev Med Chil. 2007 Jul;135(7):924-31. doi: 10.4067/s0034-98872007000700014. Epub 2007 Sep 6.
Retroperitoneal cystic tumors are uncommon. More than two thirds are malignant. Benign lesions include lipomas and leiomyomas, among others. Bronchogenic cysts are congenital anomalies that result from an abnormal budding of the primitive foregut, and are most commonly found in the mediastinum. Occasionally they can be seen in the skin, subcutaneous tissue, in the pre-sternal and pericardial areas, but those located under the diaphragm are extremely rare. We report a 24 year-old female who consulted for abdominal pain. An abdominal ultrasound disclosed a retroperitoneal cystic lesion, that was confirmed with a CAT scan. The patient was operated, finding a cyst that was adhered to the pancreas. A distal pancreatectomy and cyst excision were done. The pathological examination of the lesion showed a bronchogenic cyst. The patient was discharged ten days after surgery.
腹膜后囊性肿瘤并不常见。超过三分之二为恶性。良性病变包括脂肪瘤和平滑肌瘤等。支气管源性囊肿是先天性异常,由原始前肠异常芽生所致,最常见于纵隔。偶尔可见于皮肤、皮下组织、胸骨前和心包区域,但位于膈肌以下者极为罕见。我们报告一名24岁因腹痛就诊的女性。腹部超声发现一个腹膜后囊性病变,CT扫描予以证实。患者接受手术,发现一个与胰腺粘连的囊肿。进行了远端胰腺切除术和囊肿切除术。病变的病理检查显示为支气管源性囊肿。患者术后十天出院。