Laraja R D, Rothenberg R E, Chapman J, Sabatini M T
Department of Surgery, Cabrini Medical Center, New York, New York 10003, USA.
Am Surg. 1995 Sep;61(9):840-1.
During the early embryonal stage of foregut development, malformations may be encountered. Foregut duplications are considered to be due to abnormal cannulization of the gastrointestinal tract and may be communicating or non-communicating cystic or tubular. They are lined by mucosal membrane. The case herein records the first instance of a foregut duplication cyst that contained both gastric and bronchial mucosa. The patient was a 35-year-old female complaining of epigastric pain and nausea for the past several months. Physical examination revealed no abnormal findings, but an upper gastrointestinal X-ray series demonstrated an irregularity of the greater curvature of the stomach. On CT scan, a left upper quadrant mass was noted. At laparotomy, a soft, retroperitoneal mass was seen between the stomach and the left adrenal gland, measuring 5.5 x 2.5 x 2 cm. It was excised and sent for histopathology. Pathology showed the mass to be of a cystic nature, containing both gastric and bronchial mucosa. After surgery the patient made an uneventful recovery.
在前肠发育的早期胚胎阶段，可能会出现畸形。前肠重复畸形被认为是由于胃肠道的异常管道形成所致，可能是交通性或非交通性的囊性或管状。它们内衬黏膜膜。本文病例记录了首例同时包含胃黏膜和支气管黏膜的前肠重复囊肿。患者为一名35岁女性，过去几个月一直抱怨上腹部疼痛和恶心。体格检查未发现异常，但上消化道X线造影显示胃大弯处有不规则现象。CT扫描发现左上腹有一肿块。剖腹手术时，在胃和左肾上腺之间可见一个柔软的腹膜后肿块，大小为5.5×2.5×2厘米。将其切除并送去做组织病理学检查。病理显示该肿块为囊性，包含胃黏膜和支气管黏膜。手术后患者恢复顺利。
