胸壁皮下支气管源性囊肿：一例报告并文献简要回顾
Subcutaneous bronchogenic cyst of the chest wall: A case report with brief literature review.
作者信息
Mirawdali Sangar Abubakir A, Kakamad Fahmi H, Baba Hiwa O, Fattah Fattah H, Salih Abdulwahid M, Salih Karzan M
机构信息
Ranya Teaching Hospital, Ranya, Kurdistan, Iraq.
College of Medicine, University of Sulaimani, Sulaimani, Kurdistan, Iraq; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq; Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq.
出版信息
Int J Surg Case Rep. 2022 Jun;95:107118. doi: 10.1016/j.ijscr.2022.107118. Epub 2022 Apr 21.
INTRODUCTION
Bronchogenic cysts are congenital lesions found in the mediastinum, particularly the posterior-superior area. The current study aims to report a rare case of a subcutaneous bronchogenic cyst in the chest wall.
CASE REPORT
A 41-year-old patient presented with a swelling of the chest wall. The mass had been present since birth. On examination, there was a large soft, round mass over the sternum subcutaneously. It was a fixed, non-flatulence, non-pulsatile, and non-tender mass.
DISCUSSION
Usually, the condition develops between the fifth and sixteenth weeks of gestation, when the primordial intestine separates into two parts: dorsal, which gives rise to the esophagus, and ventral, which gives rise to the pulmonary bud and tracheobronchial tree. As a result, the cyst is an ectopic lung bud that may or may not be connected to the tracheobronchial tree but lacks mesenchymal tissue.
CONCLUSION
Although chest wall bronchogenic cysts are uncommon, they should be considered in the differential diagnosis of cystic and soft tissue lesions in adults with chest wall swelling.
引言
支气管源性囊肿是在纵隔，特别是后上区域发现的先天性病变。本研究旨在报告一例罕见的胸壁皮下支气管源性囊肿病例。
病例报告
一名41岁患者出现胸壁肿胀。该肿块自出生以来就存在。检查时，胸骨上方皮下有一个大的柔软圆形肿块。它是一个固定的、无气肿、无搏动且无压痛的肿块。
讨论
通常，这种情况在妊娠第5至16周之间发展，此时原始肠道分为两部分：背侧部分发育为食管，腹侧部分发育为肺芽和气管支气管树。因此，囊肿是一个异位肺芽，可能与气管支气管树相连，也可能不相连，但缺乏间充质组织。
结论
虽然胸壁支气管源性囊肿不常见，但在成人胸壁肿胀的囊性和软组织病变鉴别诊断中应考虑到。
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