Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Reina Sofía, Avd Menéndez Pidal, Córdoba, Spain.
J Gastrointest Surg. 2010 Apr;14(4):756-8. doi: 10.1007/s11605-009-0932-5. Epub 2009 May 28.
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.
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.
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.
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。
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。
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。
