合并结核性纵隔淋巴结炎的复发性感染性纵隔支气管源性囊肿的管理
Management of infected recurrent mediastinal bronchogenic cyst with tuberculous mediastinal lymphadenitis.
作者信息
Hiremath Channabasavaraj Shivalingaiah, Kumar Dinesh, Doddamane Aditya Narsipur, Kamath Anuradha
机构信息
Department of Cardiovascular and Thoracic Surgery, Sri Sathya Sai Institute of Higher Medical Sciences (SSSIHMS), Bangalore, India.
Department of Anaesthesia, SSSIHMS, Bangalore, India.
出版信息
Indian J Thorac Cardiovasc Surg. 2020 Jan;36(1):67-70. doi: 10.1007/s12055-019-00850-x. Epub 2019 Sep 10.
We describe a case of a 20-year-old woman with recurrent bronchogenic cyst. The cyst made its debut at the age of six, which was excised surgically. Preoperative investigations revealed a mass in the right parasternal region extending from around the pericardium, present between the second and fourth ribs and abutting the right mediastinal structures. Dense adhesions were noted and released selectively to avoid iatrogenic injury. Complete evacuation and excision of the cyst from around the pericardium and phrenic nerve with marsupialization of the sac were performed. The patient's post-operative course was uneventful.
我们描述了一例20岁复发性支气管囊肿女性患者。该囊肿于6岁时首次出现，已接受手术切除。术前检查发现右胸骨旁区域有一肿块，起自心包周围，位于第二和第四肋骨之间，毗邻右纵隔结构。术中发现致密粘连并进行了选择性松解，以避免医源性损伤。完整地将囊肿从心包和膈神经周围切除并进行囊肿造袋术。患者术后恢复顺利。
Zotero 插件