Wang Wuping, Ni Yunfeng, Zhang LiWang, Li Xiaofei, Ke Changkang, Lu Qiang, Cheng Qingshu
Department of Thoracic Surgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, PR China.
J Cardiothorac Surg. 2012 Sep 26;7:94. doi: 10.1186/1749-8090-7-94.
Paraesophageal bronchogenic cyst was one of common mediastinal congenital cystic lesions of foregut origin. Because of an intimate embryologic relationship with the esophagus, they were usually found intramural (intramural esophageal bronchogenic cysts) with the local esophageal mucosa being intact and the paraesophageal bronchogenic cysts were rarely communicated with esophageal lumen. We report a case of para-esophageal bronchogenic cyst communicating to the esophageal lumen thorough a pedicle of canal, which looked liked a diverticulum on X-ray. During the operation, a communication of paraesophageal bronchogenic cyst with esophageal was found and the pathology diagnosis were made then. The symptoms of chest pain and dysphagia were relieved immediately after operation. The follow-up was well 2 years after the surgery.
食管旁支气管源性囊肿是前肠起源的常见纵隔先天性囊性病变之一。由于与食管存在密切的胚胎学关系，它们通常位于壁内（壁内食管支气管源性囊肿），局部食管黏膜完整，食管旁支气管源性囊肿很少与食管腔相通。我们报告一例食管旁支气管源性囊肿通过一个管道样蒂与食管腔相通的病例，在X线片上看起来像一个憩室。手术中发现食管旁支气管源性囊肿与食管相通，随后做出病理诊断。术后胸痛和吞咽困难症状立即缓解。术后2年随访情况良好。
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