Neumann J, Atkins D J, Zirngibl H
Chirurgische Klinik, Universität Witten/Herdecke.
Zentralbl Chir. 1998;123(10):1175-9.
Cysts of the esophagus are rare mediastinal tumors presenting a large variety of clinical symptoms. Even with modern methods of examination an exact diagnosis is difficult to obtain and often only possible after histological examination. Complications are perforation, or pulmonary, thoracic or esophageal haemorrhage. First choice of therapy is the exstirpation. We report on a 50 year old man with backache and the initial diagnosis of renal colic. Only the magnetic resonance image showed an isolated mediastinal esophageal cyst as the reason. The cyst was removed by thoracotomy. The operation and treatment were without complications. Symptomatology, diagnostical pitfalls and the therapy are described.
食管囊肿是罕见的纵隔肿瘤，临床表现多样。即便采用现代检查方法，也难以做出准确诊断，通常只有在组织学检查后才能确诊。并发症包括穿孔、肺部、胸腔或食管出血。治疗的首选方法是切除。我们报告了一名50岁男性，他因背痛最初被诊断为肾绞痛。仅磁共振成像显示一个孤立的纵隔食管囊肿是病因。通过开胸手术切除了囊肿。手术及治疗过程无并发症。文中描述了其症状、诊断陷阱及治疗方法。
