類似呼吸道異物表現之前腸囊腫－二例報告

Foregut Cyst Manifesting as an Airway Foreign Body - Report of Two Cases

王麟殿(Lin-Tien Wang) ； 李國森(Kuo-Sen Lee) ； 張克昌(Ko-Chang Chang)

《中華民國耳鼻喉科醫學雜誌》 35卷5期 (2000/09) Pp. 330-333

https://doi.org/10.6286/2000.35.5.330

摘要

前腸曩種唯一少見的先天性異常，包括支氣管性及食道重複性囊腫。本文提出2例嬰幼兒疑似呼吸道異之病例，施行硬式支氣管鏡檢查後，證實是左側支氣管外部壓迫，經電腦斷層檢查診斷為縱膈腔腫瘤疑似前腸囊腫。其中第1例經開胸手術取出，病例報告證實是食道重複性囊腫。第2例則赴他院開刀，病理證實為支氣管囊腫。由於前腸囊腫甚為罕見，同時臨床症狀又多以呼吸窘迫為表現，與氣管異物難以區分，故特提出討論。

關鍵字

前腸囊腫 ； 食道重複性囊腫 ； 支氣管囊腫

並列摘要

Foregut cysts are rare congenital abnormalities, which can be subgrouped into esophageal duplication and bronchogenic cyst. We describe two patients with foregut cysts, produc-ing clinical symptoms simulating airway foreign bodies. On rigid bronchoscopic examina-tion, we found external compression of the left main bronchus. One case proved to be due toesophageal duplication after a thoracetomy excision. The other underwent surgery at another hospital and a bronchogenic cyst was found. The two cases highlight the impor-tance of listing foregut cysts in the differential diagnosis of a suspected airway foreign body.

並列關鍵字

Foregut cyst ； esophageal duplication ； bronchogenic cyst