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超声检查发现的一例支气管源性囊肿

A Case of Bronchogenic Cyst Detected by Ultrasound.

作者信息

Zhang Lei, Ji Dong-Hui, Liang Kuo-Peng

机构信息

Department of Ultrasound, Xingtai People's Hospital, Hebei, China.

出版信息

Curr Med Imaging. 2025 Mar 14. doi: 10.2174/0115734056347512250219063009.

Abstract

BACKGROUND

Bronchogenic cysts are congenital cystic anomalies of the bronchus that originate from abnormal development of the bronchial tree during the embryonic period. Their common manifestation is a space-occupying lesion in the lungs or mediastinum. Common imaging modalities for detecting bronchogenic cysts include chest X-ray and chest computed tomography (CT) scans.

CASE PRESENTATION

A 24-year-old female presented with an abnormal space-occupying lesion in the mediastinum detected through imaging examinations. Echocardiography revealed a cystic mass located between the descending aorta and the right pulmonary artery. A CT scan identified a low-density mass with a distinct density relative to adjacent tissues, situated near the left main bronchus. The final diagnosis of a bronchogenic cyst was established following surgical intervention and pathological examination.

CONCLUSION

Bronchogenic cysts are rare congenital anomalies. Common clinical symptoms include chest pain, cough, and dyspnea. On standard chest radiographs and CT scans, most cysts present as homogenous water-density shadows, with the mediastinum being the most frequently affected location. The diagnosis is confirmed through pathological examination. Surgical intervention remains the most effective treatment method, typically resulting in a favorable prognosis.

摘要

背景

支气管源性囊肿是支气管的先天性囊性异常,起源于胚胎期支气管树的异常发育。其常见表现为肺部或纵隔的占位性病变。检测支气管源性囊肿的常见影像学检查方法包括胸部X线和胸部计算机断层扫描(CT)。

病例介绍

一名24岁女性经影像学检查发现纵隔有异常占位性病变。超声心动图显示在降主动脉和右肺动脉之间有一个囊性肿块。CT扫描发现一个低密度肿块,相对于相邻组织密度明显,位于左主支气管附近。经手术干预和病理检查后确诊为支气管源性囊肿。

结论

支气管源性囊肿是罕见的先天性异常。常见临床症状包括胸痛、咳嗽和呼吸困难。在标准胸部X线片和CT扫描上,大多数囊肿表现为均匀的水样密度阴影,纵隔是最常受累的部位。通过病理检查确诊。手术干预仍然是最有效的治疗方法,通常预后良好。

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