Rashid Abdul, Ahmad Vaqas, Qazi Saqib, Billoo Abdul Gaffar, Rashid Sajida, Saleem Ali Faisal
Department of Paediatrics and Child Health, The Aga Khan University, Karachi.
Department of Surgery, The Aga Khan University, Karachi.
J Coll Physicians Surg Pak. 2014 May;24 Suppl 2:S117-8.
A two and a half year old Kenyan girl presented with recurrent chest infections and difficulty in swallowing. Her clinical and laboratory workup was suggestive of lower respiratory tract infection for which she received a course of antibiotics; however, she remains symptomatic after the management of her suspected diagnosis. Therefore, further radiological workup including a chest CT scan and barium study were performed. This showed a homogeneous mass surrounded by ascending and descending aorta in the posterior mediastinum that was compressing the middle esophagus. She had a posterolateral thoracotomy which revealed a cystic mass with smooth surfaces (5x5 cm) in the posterior mediastinum. Histopathology showed branchial cleft cyst predominately lined by stratified squamous epithelium, with lymphocytes predominance. A final diagnosis of posterior mediastinal branchial cleft cyst was made. She was discharged home and remained well at follow-up.
一名两岁半的肯尼亚女孩出现反复的胸部感染和吞咽困难。她的临床和实验室检查提示为下呼吸道感染，为此接受了一个疗程的抗生素治疗；然而，在对疑似诊断进行处理后她仍有症状。因此，进行了包括胸部CT扫描和钡餐检查在内的进一步影像学检查。检查显示后纵隔有一个均匀的肿块，被升主动脉和降主动脉包绕，压迫着中段食管。她接受了后外侧开胸手术，术中发现后纵隔有一个表面光滑的囊性肿块（5×5厘米）。组织病理学显示鳃裂囊肿，主要由复层鳞状上皮衬里，淋巴细胞为主。最终诊断为后纵隔鳃裂囊肿。她出院回家，随访时情况良好。
