Kizu Takashi, Nishida Tsutomu, Tsutsui Shusaku, Yakushijin Takayuki, Egawa Satoshi, Miyazaki Masanori, Watabe Kenji, Mochizuki Kiyoshi, Kiso Shinichi, Hiramatsu Naoki, Tsujii Masahiko, Takehara Tetsuo, Morii Eiichi, Hayashi Norio
Department of Gastroenterology and Hepatology, Osaka University, Graduate School of Medicine, and Department of Internal Medicine, Kansai Rosai Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2011 May;108(5):769-77.
A man in his thirties with epigastric pain was referred to our hospital for detailed examinations. Abdominal computed tomography showed an abdominal cystic lesion with a longest dimension of 7 cm, located behind the stomach. Endoscopic ultrasonography through the stomach showed a cystic lesion and the wall of the lesion revealed continuity to the proper muscle layer of the gastric wall. Therefore, gastric duplication was suspected and the cystic lesion was resected because of the possibility of malignancy and also for a definitive diagnosis. The cystic lesion consisted of columnar ciliated epithelium, seromucous glands, smooth muscle and cartilage and was diagnosed as a bronchogenic cyst. Bronchogenic cysts are sometimes encountered in the thoracic or mediastinal area, but abdominal bronchogenic cysts, such as the present case, are extremely rare.
一名30多岁的男性因上腹部疼痛被转诊至我院进行详细检查。腹部计算机断层扫描显示一个最大直径为7厘米的腹部囊性病变,位于胃后方。通过胃进行的内镜超声检查显示一个囊性病变,病变壁与胃壁的固有肌层连续。因此,怀疑为胃重复畸形,由于存在恶变可能性且为明确诊断,对囊性病变进行了切除。囊性病变由柱状纤毛上皮、浆液黏液腺、平滑肌和软骨组成,诊断为支气管源性囊肿。支气管源性囊肿有时见于胸部或纵隔区域,但像本例这样的腹部支气管源性囊肿极为罕见。