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腹腔内支气管源性囊肿。

Intraabdominal bronchogenic cyst.

机构信息

Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Reina Sofía, Avd Menéndez Pidal, Córdoba, Spain.

出版信息

J Gastrointest Surg. 2010 Apr;14(4):756-8. doi: 10.1007/s11605-009-0932-5. Epub 2009 May 28.

Abstract

INTRODUCTION

Bronchogenic cyst is pathology of the respiratory track. It consists of a defect during the embryological development of the tracheobronchial tree. Most common presentation is as a solid or cystic mass located in mediastinum, and it is usually diagnosed in relation to respiratory problems or recurrent infections in children. In adulthood, it is a rare pathology, and its diagnosis is usually incidental.

CASE REPORT

We present a case of a patient with a paraesophageal cystic mass suggestive of intraabdominal esophageal duplication cyst but, after the histopathological examination, was discovered to be a bronchogenic cyst, something extremely rare as in most cases of subdiaphragmatic location; bronchogenic cysts appear as retroperitoneal lesions.

DISCUSSION

After we review the current literature, surgical extirpation appears to be the treatment of choice due to potential complications, and laparoscopic approach is a feasibily and safe procedure for this pathology up to date.

摘要

简介

支气管囊肿是呼吸道的病理学病变。它是由气管支气管树胚胎发育过程中的缺陷引起的。最常见的表现是位于纵隔的实性或囊性肿块,通常是在儿童出现呼吸问题或反复感染时诊断出来的。在成年期,它是一种罕见的病理学病变,其诊断通常是偶然的。

病例报告

我们报告了一例患者,其食管旁囊性肿块提示为腹腔内食管重复囊肿,但在组织病理学检查后发现为支气管囊肿,这在大多数膈下位置的病例中极为罕见;支气管囊肿表现为腹膜后病变。

讨论

在我们回顾了目前的文献后,由于潜在的并发症,手术切除似乎是首选的治疗方法,腹腔镜方法是目前治疗这种病理学的一种可行且安全的方法。

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