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Video-assisted Thoracoscopic Excision of Double Para-Esophageal Bronchogenic Cysts, One Intramural and the Other Extramural: A Case Report

以胸腔鏡手術切除雙顆胸腔內食道旁支氣管源性囊腫,一肌肉層外,一肌肉層內:病例報告

摘要


支氣管源性囊腫(Bronchogenic cyst)是一種不常見的先天性支氣管肺部畸型,一般多為單顆發生。常見的發生位置在上縱膈腔、中縱膈腔及肺實質內部。發生在食道旁,特別是食道肌肉層內的支氣管源性囊腫是很罕見的。此篇的病例報告是一中年女性,於例行的健康檢查中發現兩顆位於食道旁的囊腫。經過一系列的檢查之後成功接受胸腔鏡囊腫切除手術。於術中發現上方的囊腫位於食道肌肉層外且內容物為澄清液體,而下方的囊腫則在食道肌肉層內,內容物為黃白黏液狀。病理檢查發現兩顆囊腫皆含呼吸上皮,壁內有呼吸腺體、平滑肌及透明軟骨,證實皆為支氣管源性囊腫。病人術後恢復良好,並在很短的時間內即出院。

並列摘要


Bronchogenic cysts, which are congenital bronchopulmonary malformations, are frequently solitary and are located in the superior and middle mediastinum and in the lung parenchyma. Para-esophageal and especially intramural esophageal bronchogenic cysts are very rare. We report an unusual case of a middle-aged woman with double paraesophageal bronchogenic cysts: 1 was intramural and the other was extramural. Videoassisted thoracoscopic excision of both cysts was performed successfully and the patient was discharged after a very short duration of hospitalization.

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