Gundapaneni Sreekar, Jain Vishesh, Sharma Shilpa, Gupta Devendra Kumar
Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
BMJ Case Rep. 2017 Dec 2;2017:bcr-2017-222537. doi: 10.1136/bcr-2017-222537.
A 3-month-old child was presented with haemoptysis with respiratory distress. Imaging was suggestive of a cavitary lesion in the lung with surrounding consolidation. Diagnosis of a primary lung pathology like congenital pulmonary airway malformation was considered. Based on clinical suspicion and prior experience, a Tc-99m pertechnetate radionuclide study was performed, which clinched the diagnosis of foregut duplication cyst. Intraoperative findings confirmed the presence of a neuroenteric cyst. The child remains asymptomatic on follow-up awaiting neurosurgical intervention for the intraspinal component of the cyst.
一名3个月大的儿童出现咯血并伴有呼吸窘迫。影像学检查提示肺部有空洞性病变并伴有周围实变。考虑诊断为先天性肺气道畸形等原发性肺部疾病。基于临床怀疑和既往经验，进行了锝-99m高锝酸盐放射性核素检查，确诊为前肠重复囊肿。术中发现证实存在神经肠囊肿。该患儿在随访中无症状，等待对囊肿脊髓内部分进行神经外科干预。
