Gullino D, Abrate M, Giordano O, Gullino E
Service de Chirurgie Générale et d'Urgence, Hôpital Départemental S.S. Annunziata, Savigliano, Italie.
J Chir (Paris). 1994 Mar;131(3):154-7.
After surgical exeresis of a large diaphragmatic cyst located at the Bochdalek orifice and with predominating endoabdominal extension, the pathological examination revealed it to be a pseudocyst involving the pleuroperitoneal Bracket membrane. This pseudocyst may have resulted from defective development of the primary lymphatic system of the pleuroperitoneal folds or of the pleuroperitoneal membrane. According to this hypothesis, myoblastic colonization of the membrane which gives the posterior part of the diaphragm would have been interrupted. The only clinical sign of this pseudocyst is a heavy painful feeling. Diagnosis is made on the basis of echography and tomodensitometry. Treatment to date is strictly surgical with very satisfactory outcome and no cases of mortality.
在手术切除位于博赫达勒克孔且以腹内延伸为主的巨大膈肌囊肿后，病理检查显示其为一个累及胸膜腹膜支架膜的假性囊肿。这个假性囊肿可能是由于胸膜腹膜皱襞或胸膜腹膜膜的原发性淋巴系统发育缺陷所致。根据这一假说，形成膈肌后部的膜的成肌细胞定植可能被中断。这个假性囊肿的唯一临床症状是严重的疼痛感。诊断基于超声检查和体层密度测定。迄今为止，治疗严格采用手术方式，效果非常令人满意，且无死亡病例。
