Seddik Hassan, Adioui Tarik, Rouibaa Fadoua, El Hamdi Fatima Zohra, Aourarh Aziz, Mahi Mohammed, Benkirane Ahmed, Zentar Aziz
Department of Gastroenterology II, Mohamed V Teaching Military Hospital, Rabat 10100, Morocco.
J Med Case Rep. 2012 Aug 31;6:262. doi: 10.1186/1752-1947-6-262.
Bronchogenic cysts are developmental anomalies of the primitive foregut which mostly occur in the lung. Gastric bronchogenic cysts are extremely rare; few cases have been reported in the literature and the diagnosis was often made following surgical resection.
A 40-year-old North African man was admitted to our hospital with a gastric submucosal mass. An endoscopic ultrasound revealed a unilocular cystic mass located in the muscular layer. Its content was echogenic suggestive of mucus. Magnetic resonance imaging confirmed the liquid nature of the cyst and showed a high ratio of proteins. Based on these observations, the diagnosis of bronchogenic cyst was confirmed. An endoscopic monitoring was decided rather than surgery because of the small size of the cyst and the absence of symptoms.
Although gastric bronchogenic cysts are rare, they should be well known and considered in all differential diagnoses of gastric tumors. We report a new case of gastric bronchogenic cyst and highlight the contribution of morphological tests that currently allow a non-invasive diagnosis.
支气管源性囊肿是原始前肠的发育异常，大多发生于肺部。胃支气管源性囊肿极为罕见；文献中报道的病例很少，且诊断往往在手术切除后才能做出。
一名40岁的北非男子因胃黏膜下肿物入住我院。内镜超声显示位于肌层的单房囊性肿物。其内容物呈回声，提示为黏液。磁共振成像证实囊肿为液性，并显示蛋白质比例较高。基于这些观察结果，确诊为支气管源性囊肿。由于囊肿体积小且无症状，决定进行内镜监测而非手术。
尽管胃支气管源性囊肿罕见，但在胃肿瘤的所有鉴别诊断中都应充分了解并考虑到。我们报告了一例新的胃支气管源性囊肿病例，并强调了目前能够实现无创诊断的形态学检查的作用。
