Halliday Laura J, Sharma Anup K
Department of General Surgery, St George's Hospital, London, UK
Department of General Surgery, St George's Hospital, London, UK.
J Surg Case Rep. 2015 May 7;2015(5):rjv056. doi: 10.1093/jscr/rjv056.
Thoracic duct cysts in the mediastinum are rare. We report the case of a 66-year-old gentleman who was found to have multiple small thoracic duct cysts during investigation of a retrosternal thyroid goitre. Multiple paraoesphageal swellings were seen on a computed tomographic scan in the upper posterior mediastinum. The largest was 2 cm and they were continuous with the thoracic duct. This is this first reported case of multiple thoracic duct cysts. Previous cases are of a single large swelling, the majority of which were surgically excised. Small asymptomatic cysts such as the case we present are suitable for conservative management.
纵隔内的胸导管囊肿很罕见。我们报告一例66岁男性病例，该患者在胸骨后甲状腺肿的检查过程中被发现有多个小的胸导管囊肿。在胸部上纵隔后部的计算机断层扫描中可见多个食管旁肿物。最大的肿物为2厘米，且与胸导管相连。这是首例关于多个胸导管囊肿的报道病例。既往病例均为单个大肿物，其中大多数已行手术切除。像我们所呈现的这种无症状小囊肿适合保守治疗。
