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腹膜后区异位支气管源性囊肿:成人患者病例报告及文献复习。

Ectopic bronchogenic cyst in the retroperitoneal region: a case report and literature review of adult patients.

机构信息

Center of Gastrointestinal Surgery, The First Affiliated Hospital, Sun Yat-sen University, No. 58 2nd Zhongshan Road, Guangzhou, 510080, Guangdong Province, People's Republic of China.

Department of Pathology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, People's Republic of China.

出版信息

BMC Surg. 2021 Sep 20;21(1):347. doi: 10.1186/s12893-021-01341-w.

DOI:10.1186/s12893-021-01341-w
PMID:34544401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8454181/
Abstract

BACKGROUND

Bronchogenic cyst is congenital aberration of bronchopulmonary malformation, which is rarely encountered in the abdomen and retroperitoneum. We present a case report and literature review of retroperitoneal bronchogenic cyst.

CASE PRESENTATION

A 53-year-old female presented to outpatient clinic for a routine checkup of lumbar intervertebral disc herniation. She received a contrast computed tomography scan of the abdomen which revealed a retroperitoneal cystic lesion below the left crura of diaphragm. Afterward, the patient underwent a laparoscopic excision of the cystic lesion and was discharged uneventfully at postoperative day 4. Histopathological findings confirmed the diagnosis of retroperitoneal bronchogenic cyst. Our literature review identified 55 adult cases in recent two decades. The average age at diagnosis was 43.2 (range 17-69) years. 44 (80%) cases had a retroperitoneal cyst on the left side, and 52 (94.5%) cases underwent curative excision through open or laparoscopic surgery. In the available follow up of cases, there was no recurrence after surgery.

CONCLUSIONS

Bronchogenic cyst is rare in the retroperitoneal region. It should be considered as one of the differential diagnoses of a retroperitoneal neoplasm.

摘要

背景

支气管源性囊肿是一种先天性支气管肺畸形,在腹部和腹膜后很少见。我们报告一例腹膜后支气管源性囊肿病例,并进行文献复习。

病例介绍

一名 53 岁女性因腰椎间盘突出症常规检查就诊于门诊。她接受了腹部增强 CT 扫描,显示左膈肌下有一个腹膜后囊性病变。随后,患者接受了腹腔镜下囊肿切除术,术后第 4 天顺利出院。组织病理学检查结果证实为腹膜后支气管源性囊肿。我们的文献复习在最近 20 年中确定了 55 例成人病例。诊断时的平均年龄为 43.2(范围 17-69)岁。44 例(80%)病例位于左侧腹膜后,52 例(94.5%)通过开放或腹腔镜手术进行根治性切除。在可获得的病例随访中,手术后无复发。

结论

支气管源性囊肿在腹膜后区域很少见。它应被视为腹膜后肿瘤的鉴别诊断之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d04/8454181/48850cc57f8c/12893_2021_1341_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d04/8454181/29e7d208b983/12893_2021_1341_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d04/8454181/48850cc57f8c/12893_2021_1341_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d04/8454181/29e7d208b983/12893_2021_1341_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d04/8454181/48850cc57f8c/12893_2021_1341_Fig2_HTML.jpg

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