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Intramural Esophageal Bronchogenic Cyst-Report of a Case

食道平滑肌內的支氣管源性囊腫-病例報告

摘要


支氣管源性囊腫是種罕見的縱膈腔腫瘤。此類囊腫大多數發生於肺部或是支氣管旁。但是在極罕見的情形下,它可能出現在食道肌肉層中。在此個案中,因患者於半年內感覺吞嚥逐漸困難而就醫。經由食道攝影及胸部電腦斷層攝影檢查,發現食道肌肉層中有一囊腫向內壓迫。經過右側開胸後,將此囊腫完全取出。在手術中,我們建議置放鼻胃管以利囊腫分離更安全,不會破壞食道的黏膜層。經由病理檢查後,診斷修正為支氣管源性囊腫。

並列摘要


name implies, most of these tumors arise from the broncho -pulmonary tract. In very rare cases, they may present in the esophageal muscular layer. After progressive dysphagia of 6 months' duration, our patient sought treatment. Esophagogram and chest computed tomography revealed an esophageal cyst with lumen compression. To alleviate the symptoms, we performed cyst removal by enucleation through a right thoracotomy. During operation, we suggested emplacing a nasogastric tube to render the dissection safer. The diagnosis was revised to bronchogenic cyst after receiving the pathology results.

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