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纵隔支气管源性囊肿合并上腔静脉综合征:一例报告

Mediastinal Bronchogenic Cyst With Superior Vena Cava Syndrome: A Case Report.

作者信息

Mora Annalee, Ghavamrezaii Amirali, Abidali Hayder, Caballero Hector, Hamidullah Alisher, Mitzov Nikolay

机构信息

Internal Medicine, Oak Hill Hospital, Brooksville, USA.

出版信息

Cureus. 2023 Jul 17;15(7):e42040. doi: 10.7759/cureus.42040. eCollection 2023 Jul.

Abstract

Bronchogenic cysts are rare in adults and often remain undetected until discovered incidentally on imaging or during a symptomatic investigation. The possibility of superior vena cava (SVC) compression due to a bronchogenic cyst arises in complex patient presentations. SVC syndrome poses several unique challenges due to the wide range of clinical symptoms and difficulty identifying the cause when symptoms first manifest. This case report examines a 39-year-old male who presented with symptoms resulting from SVC compression caused by a bronchogenic cyst, leading to SVC syndrome. We discuss the various imaging modalities used to assess the severity of the obstruction and the surgical interventions employed to alleviate the symptoms. A surgical intervention provides symptomatic relief and promises an excellent prognosis when performed without complications.

摘要

支气管源性囊肿在成人中较为罕见,通常在影像学检查时偶然发现或在有症状检查期间才被发现。在复杂的患者表现中,支气管源性囊肿可能导致上腔静脉(SVC)受压。由于临床症状范围广泛且症状首次出现时难以确定病因,SVC综合征带来了几个独特的挑战。本病例报告研究了一名39岁男性,他因支气管源性囊肿导致SVC受压而出现症状,进而引发了SVC综合征。我们讨论了用于评估梗阻严重程度的各种影像学方法以及为缓解症状所采用的手术干预措施。手术干预可缓解症状,且在无并发症的情况下进行有望获得良好的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c653/10431947/094fafb0a903/cureus-0015-00000042040-i01.jpg

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