Wirbel R J, Uhlig U, Kiffner E M, Berger K
Chirurgische Klinik, St.-Vincentius-Krankenhäuser, Karlsruhe.
Chirurg. 1993 Dec;64(12):1056-9.
A retroperitoneal tumor originating from a bronchogenic cyst is an extreme rarity. We report the sixth case of a retroperitoneal bronchogenic cyst in an asymptomatic 38-year-old man who was initially admitted to hospital due to elective herniotomy of a right-sided inguinal hernia. Excluding symptomatic hernia by preoperative, routine-ultrasound we detected left-sided adrenal tumor mass. Computerized tomography and inconspicuous hormone-analysis completed preoperative evaluation. A tumor with 3 cm in diameter above the left adrenal gland, partly solid, partly cystic could be removed by laparotomy incision without complications. Final pathology confirmed diagnosis of a bronchogenic, dysontogenic cyst. Although rare, these cysts should be considered in differential-diagnosis of retroperitoneal tumors.
起源于支气管囊肿的腹膜后肿瘤极为罕见。我们报告了第六例腹膜后支气管囊肿病例,患者为一名38岁无症状男性,最初因择期行右侧腹股沟疝修补术入院。术前通过常规超声排除了有症状的疝,我们检测到左侧肾上腺肿瘤肿块。计算机断层扫描和不明显的激素分析完成了术前评估。通过剖腹手术切口成功切除了位于左肾上腺上方直径3厘米的肿瘤,该肿瘤部分为实性,部分为囊性,且无并发症。最终病理证实为支气管源性、发育异常性囊肿。尽管罕见,但在腹膜后肿瘤的鉴别诊断中应考虑这些囊肿。