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[心包内支气管源性囊肿——两例手术病例报告]

[Intrapericardial bronchogenic cyst--a report of two surgical cases].

作者信息

Ohno K, Miyamoto T, Murata H, Kaku K, Maeda S, Yamashita K

机构信息

Department of Thoracic and Cardiovascular Surgery, Hyogo College of Medicine, Nishinomiya, Japan.

出版信息

Nihon Kyobu Geka Gakkai Zasshi. 1990 Apr;38(4):660-6.

PMID:2197351
Abstract

Two cases of intrapericardial bronchogenic cyst are reported. Case 1 was a 58-year-old man with a complaint of exertional dyspnea. A chest X-ray film showed a right hilar mass shadow. Echocardiographically the mass showed cystic pattern in the pericardium. A pulmonary angiogram revealed a mass displacing the right pulmonary artery superiolaterally and left atrium and pulmonary vein inferiorly. The preoperative diagnosis was intrapericardial cyst. Subtotal resection of intrapericardial cyst was performed via right thoracotomy. Histological diagnosis was bronchogenic cyst. The postoperative course was uneventful. Case 2 was a 41-year-old man. A displacement of the esophagus and duodenal ulcer was pointed out in the upper gastrointestinal series. A chest X-ray film showed a right hilar mass shadow. Since echocardiogram and pulmonary angiogram revealed similar findings to those in case 1, intrapericardial bronchogenic cyst was suspected preoperatively. Complete resection of the intrapericardial cyst was made via right thoracotomy. Histological diagnosis was bronchogenic cyst. The postoperative course was uneventful.

摘要

报告了两例心包内支气管源性囊肿病例。病例1为一名58岁男性,主诉劳力性呼吸困难。胸部X线片显示右肺门肿块影。超声心动图显示肿块在心包内呈囊性形态。肺动脉造影显示肿块将右肺动脉向上外侧移位,将左心房和肺静脉向下移位。术前诊断为心包内囊肿。通过右胸切口进行心包内囊肿次全切除术。组织学诊断为支气管源性囊肿。术后病程顺利。病例2为一名41岁男性。上消化道造影显示食管移位和十二指肠溃疡。胸部X线片显示右肺门肿块影。由于超声心动图和肺动脉造影显示的结果与病例1相似,术前怀疑为心包内支气管源性囊肿。通过右胸切口对心包内囊肿进行了完整切除。组织学诊断为支气管源性囊肿。术后病程顺利。

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