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肝异位支气管源性囊肿误诊为胆囊憩室 1 例报告。

Ectopic bronchogenic cyst of liver misdiagnosed as gallbladder diverticulum: A case report.

机构信息

Department of Hapatopancreatobiliary Surgery, The First Bethune Hospital of Jilin University, Changchun 130021, Jilin Province, China.

Department of Breast Surgery, The First Bethune Hospital of Jilin University, Changchun 130021, Jilin Province, China.

出版信息

World J Gastroenterol. 2022 Sep 7;28(33):4920-4925. doi: 10.3748/wjg.v28.i33.4920.

Abstract

BACKGROUND

Ectopic bronchogenic cysts are a type of congenital cystic tumor that are extremely difficult to diagnose and can be ectopically located in various organs, with the possibility of malignant transformation. Here we report a case of an ectopic bronchogenic cyst in the liver initially misdiagnosed as a gallbladder diverticulum.

CASE SUMMARY

The patient was a middle-aged woman whose chief complaint was intermittent pain in the upper abdomen. Imaging examination revealed a cystic space in the left inner lobe of the liver. She was admitted to our hospital for treatment. Based on abdominal examination and imaging findings, the initial diagnosis was gallbladder diverticulum with cholestasis combined with chronic cholecystitis. However, following intraoperative observations and postoperative pathologic assessment, the diagnosis was revised to ectopic bronchogenic cyst of the liver.

CONCLUSION

Radiologists, hepatobiliary and pancreatic surgeons, gastrointestinal surgeons, urologists, and even neurosurgeons should be aware and consider a possible diagnosis of ectopic bronchogenic cysts, especially when other types of cyst, cystadenoma, and other diseases are excluded. The disease and its complications should be detected and correctly diagnosed and treated as early as possible in order to avoid adverse outcomes.

摘要

背景

异位支气管源性囊肿是一种先天性囊性肿瘤,极难诊断,可异位发生于各种器官,并有恶变的可能。本文报告了 1 例最初误诊为胆囊憩室的肝异位支气管源性囊肿。

病例概述

患者为中年女性,主要症状为上腹痛间歇性发作。影像学检查显示肝左内叶有囊性空间。她因该病入住我院。根据腹部检查和影像学结果,初步诊断为伴有慢性胆囊炎的胆囊憩室和胆汁淤积。但术中观察和术后病理评估后,诊断为肝异位支气管源性囊肿。

结论

放射科医生、肝胆胰外科医生、胃肠外科医生、泌尿科医生,甚至神经外科医生都应该意识到并考虑可能的异位支气管源性囊肿的诊断,特别是在排除其他类型的囊肿、囊腺瘤等疾病之后。应尽早发现该病及其并发症,并进行正确的诊断和治疗,以避免不良后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c9/9476860/337845743483/WJG-28-4920-g001.jpg

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