Ambalavanan S K, Mehta A V, Hamati F I
Department of Pediatrics, James H. Quillen College of Medicine, East Tennessee State University, Johnson City 37604, USA.
Tenn Med. 1998 Dec;91(12):463-5.
A 5-year-old girl with an asymptomatic posterior mediastinal cyst from birth was followed with repeated echocardiograms. The cyst developed communication with the bronchus spontaneously around 8 months of age without clinical symptoms. This was detected from the sudden disappearance of the mass on echocardiogram, and an unusual air-pocket on chest roentgenogram. Computed tomography (CT) of the chest confirmed the diagnosis of communicating bronchogenic cyst (BC). She was treated successfully with complete surgical excision of the cyst and closure of the defect in the bronchus. We emphasize that surgery is indicated in all mediastinal BCs because of potential complications.
一名自出生起就患有无症状后纵隔囊肿的5岁女孩接受了多次超声心动图检查。囊肿在8个月大左右时自发与支气管相通，且无临床症状。这是通过超声心动图上肿块的突然消失以及胸部X线片上出现的异常气腔发现的。胸部计算机断层扫描（CT）确诊为交通性支气管源性囊肿（BC）。她通过囊肿的完全手术切除和支气管缺损的闭合得到了成功治疗。我们强调，由于存在潜在并发症，所有纵隔BC均应进行手术治疗。
