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[食管支气管源性囊肿:成人吞咽困难的罕见病因。病例报告及文献复习]

[Esophageal bronchogenic cyst: an uncommon cause of dysphagia in adults. Case report and literature review].

作者信息

Ceniceros-Cabrales Ana P, Sánchez-Fernández Patricio

机构信息

Servicio de Gastrocirugía, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.

出版信息

Cir Cir. 2018;86(2):187-190. doi: 10.24875/CIRU.M18000018.

Abstract

BACKGRONUND

Bronchogenic cysts result from abnormal budding of the primitive tracheobronchial tube and are rare congenital cystic lesions. The location of the cyst depends on the embryological stage of abnormal budding. Although periesophageal bronchogenic cysts have been frequently reported, a completely intramural cyst is very rare.

CLINICAL CASE

A 42-year-old female patient, a three-month course with retrosternal pain associated with food intake, accompanied by intermittent dysphagia to solids. Esophagogram, high resolution thoracic tomography and endoscopic ultrasound are performed, concluding a probable esophageal bronchogenic cyst. Resection is performed by video-assisted thoracic surgery, without complications. Patient presents with adequate evolution and complete remission of the symptomatology.

CONCLUSION

Bronchogenic cysts of the esophageal wall are extremely uncommon lesions. Its surgical treatment is indicated to be symptomatic; video-assisted thoracoscopic surgery resection is of choice, with excellent long-term results and minimal morbidity.

摘要

背景

支气管源性囊肿源于原始气管支气管管的异常出芽,是罕见的先天性囊性病变。囊肿的位置取决于异常出芽的胚胎学阶段。虽然食管周围支气管源性囊肿已有频繁报道,但完全位于壁内的囊肿非常罕见。

临床病例

一名42岁女性患者,有3个月胸骨后疼痛伴进食相关症状的病程,伴有间歇性固体食物吞咽困难。进行了食管造影、高分辨率胸部断层扫描和内镜超声检查,结论为可能是食管支气管源性囊肿。通过电视辅助胸腔镜手术进行切除,无并发症。患者病情进展良好,症状完全缓解。

结论

食管壁支气管源性囊肿是极其罕见的病变。其手术治疗适用于有症状者;电视辅助胸腔镜手术切除是首选,长期效果良好且发病率极低。

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