Hazenberg A J C, Pullmann L M, Henke R-P, Hoppe F
Department of Otorhinolaryngology-Head and Neck Surgery, Klinikum Oldenburg, Germany.
J Laryngol Otol. 2010 Dec;124(12):1325-8. doi: 10.1017/S0022215110000423. Epub 2010 Mar 16.
Neck abscesses can originate from congenital cervical cysts. Cervical cysts of bronchogenic origin are rare and often asymptomatic. Common symptoms of bronchogenic cysts are stridor, dyspnoea and dysphagia. The reported patient represents the second published case of a bronchogenic cyst causing a neck abscess in an adult.
We report a case of a cervical bronchogenic cyst presenting as a recurrent supraclavicular abscess in a middle-aged woman. During extirpation, a fistula was demonstrated to the right upper lobe of the lung, suspected because the cyst inflated synchronously with respiration.
The symptoms of bronchogenic cysts are due to the effects of compression or fistulas. In the majority of these cysts, a thorough investigation involving history, examination and radiological imaging does not clearly demonstrate a fistula. Therefore, extirpation is both diagnostic and therapeutic.
A bronchogenic cyst is a very rare cause of a recurrent deep neck abscess. Total extirpation is the treatment of choice.
颈部脓肿可起源于先天性颈囊肿。支气管源性颈囊肿罕见，通常无症状。支气管源性囊肿的常见症状为喘鸣、呼吸困难和吞咽困难。本文报道的患者是第二例已发表的成人支气管源性囊肿导致颈部脓肿的病例。
我们报告一例中年女性患者，其颈部支气管源性囊肿表现为复发性锁骨上脓肿。在切除过程中，发现囊肿与右肺上叶之间存在瘘管，怀疑是因为囊肿与呼吸同步膨胀。
支气管源性囊肿的症状是由压迫或瘘管效应引起的。在大多数此类囊肿中，全面的病史、体格检查和影像学检查并不能明确显示瘘管。因此，切除既是诊断手段也是治疗方法。
支气管源性囊肿是复发性深部颈部脓肿非常罕见的病因。彻底切除是首选治疗方法。
