Bukamur Hazim S, Alkhankan Emad, Mezughi Haitem M, Munn Nancy J, Shweihat Yousef R
Department of Pulmonary and Critical Care Medicine, Marshall University, Joan C. Edwards School of Medicine and the Huntington Veterans Administration Medical Center, Huntington, WV 25701, USA.
Department of Internal Medicine, Marshall University, Joan C. Edwards School of Medicine, Huntington, WV 25701, USA.
Respir Med Case Rep. 2018 Apr 4;24:46-49. doi: 10.1016/j.rmcr.2018.04.002. eCollection 2018.
Bronchogenic and other duplication cysts are congenital abnormalities that can present at any age including adulthood years. They are usually asymptomatic and discovered incidentally on radiological imaging of the chest. They are commonly treated by surgical resection. Recently, endobronchial ultrasound has been used to assist in diagnosis when radiologic imaging is not definitive. Endobronchial ultrasound has been used rarely to drain infected cysts, a rare complication of the bronchogenic cyst. We present a unique case of an infected large bronchogenic cyst treated with endobronchial ultrasound drainage combined with conservative medical therapy. We also review the scarce available literature describing such an approach and its potential complications and add recommendations based on our experience in managing these anomalies.
支气管源性囊肿及其他重复囊肿是先天性异常，可在任何年龄出现，包括成年期。它们通常无症状，在胸部影像学检查时偶然发现。通常通过手术切除进行治疗。最近，当影像学检查不能明确诊断时，支气管内超声已被用于辅助诊断。支气管内超声很少用于引流感染性囊肿，这是支气管源性囊肿的一种罕见并发症。我们报告了一例独特的病例，即通过支气管内超声引流联合保守药物治疗感染性大支气管源性囊肿。我们还回顾了描述这种方法及其潜在并发症的稀少文献，并根据我们处理这些异常情况的经验给出建议。
