Cavaliere Michele, Cimmino Mariano, Sicignano Stefania, Rega Felice, Maione Nunzia, Malacario Francesca, Ugga Lorenzo, Russo Camilla
Dipartimento di Neuroscienze e Scienze Riproduttive ed Odontostomatologiche.
Dipartimento di Scienze Biomediche Avanzate; Università degli Studi di Napoli 'Federico II', Italy.
Neuroradiol J. 2016 Dec;29(6):450-454. doi: 10.1177/1971400916661733. Epub 2016 Aug 30.
Lesions of the retropharyngeal space (RPS) are uncommon, and they generally present as solitary, painless masses, which are often cystic. They usually originate from branchial arches anomalies, and only in a few cases do they turn out to be bronchogenic cysts. Generally, these lesions are diagnosed in childhood, but sometimes they can appear in adulthood. We report here a rare case of a bronchogenic cyst expanding into the RPS and causing dysphagia in an adult patient treated surgically. Since the RPS is clinically inaccessible, clinical examination was not crucial in determining the correct diagnosis, and only the additional information provided by radiological examinations led to the final diagnosis, which is essential for accurate surgical planning.
咽后间隙(RPS)病变并不常见,通常表现为孤立的无痛性肿块,多为囊性。它们通常起源于鳃弓异常,只有少数情况下会是支气管源性囊肿。一般来说,这些病变在儿童期被诊断出来,但有时也会在成年期出现。我们在此报告一例罕见病例,一名成年患者的支气管源性囊肿扩展至咽后间隙并导致吞咽困难,该患者接受了手术治疗。由于咽后间隙在临床上难以触及,临床检查对于确定正确诊断并非关键,只有放射学检查提供的额外信息才导致了最终诊断,而这对于准确的手术规划至关重要。