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中华肝脏外科手术学电子杂志 ›› 2022, Vol. 11 ›› Issue (02) : 193 -197. doi: 10.3877/cma.j.issn.2095-3232.2022.02.016

临床研究

腹膜后支气管源性囊肿一例并文献复习
何伟良1, 李华2,(), 周志涛1   
  1. 1. 514000 广东省梅州市,中山大学附属第三医院粤东医院普通外科
    2. 510630 广州,中山大学附属第三医院肝脏外科
  • 收稿日期:2020-12-21 出版日期:2022-04-10
  • 通信作者: 李华
  • 基金资助:
    广东省自然科学基金(2018A030313108)

Retroperitoneal bronchogenic cyst: report of a case and literature review

Weiliang He1, Hua Li2,(), Zhitao Zhou1   

  1. 1. Department of General Surgery, Yuedong Hospital, the Third Affiliated Hospital of Sun Yat-sen University, Meizhou 514000, China
    2. Department of Hepatobiliary Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
  • Received:2020-12-21 Published:2022-04-10
  • Corresponding author: Hua Li
引用本文:

何伟良, 李华, 周志涛. 腹膜后支气管源性囊肿一例并文献复习[J]. 中华肝脏外科手术学电子杂志, 2022, 11(02): 193-197.

Weiliang He, Hua Li, Zhitao Zhou. Retroperitoneal bronchogenic cyst: report of a case and literature review[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2022, 11(02): 193-197.

目的

探讨腹膜后支气管源性囊肿(RBC)的诊治并文献复习。

方法

回顾性分析2019年1月5日中山大学附属第三医院粤东医院收治的1例RBC患者临床资料。患者女,28岁,因"左下腹隐痛不适两个月余伴加重1周"就诊,临床表现为左下腹隐痛,无其他特征性临床表现。患者签署知情同意书,符合医学伦理学规定。总结患者的临床表现、辅助检查及治疗方法,并进行文献复习。

结果

患者CEA、AFP、CA125、CA19-9均正常。超声检查示肝右叶后方、右肾上腺区囊性占位,无明显血供。增强CT示右肾上极、右肾上腺区及右肝后上间隙肿物,密度不高且质地不均匀,未见明显强化。于2019年1月9日在气管插管全身麻醉下行腹腔镜RBC切除术。术后病理学检查确诊为RBC。患者术后恢复良好,随访至投稿日期无复发。

结论

RBC极为罕见,术前无特异性检查手段,影像学检查可提供有限的临床数据,手术切除为有效的治疗手段,大多预后良好。

Objective

To investigate the diagnosis and treatment of retroperitoneal bronchogenic cyst (RBC) and conduct literature review.

Methods

Clinical data of 1 RBC patient admitted to Yuedong Hospital of the Third Affiliated Hospital of Sun Yat-sen University on January 5, 2019 were retrospectively analyzed. A 28-year-old female patient was admitted to our hospital due to "dull pain in the left lower abdomen for over 2 months and aggravated for 1 week". Clinical manifestation was dull pain in the left lower abdomen without other specific clinical features. The informed consent of this patient was obtained and the local ethical committee approval was received. Clinical manifestations, auxiliary examinations and treatment methods were summarized, and literature review was conducted.

Results

The CEA, AFP, CA125 and CA19-9 of the patient were normal. Ultrasound examination showed cystic space-occupying in the rear right liver lobe and right adrenal region, without evident blood supply. Contrast-enhanced CT scan demonstrated a mass with low density, uneven texture and no significant enhancement in the upper pole of right kidney, right adrenal region and right retrohepatic space. On January 9, 2019, laparoscopic RBC resection with tracheal intubation was performed under general anesthesia. Postoperative pathological examination confirmed the diagnosis of RBC. The patient recovered well after the surgery, and did not recur before submission date.

Conclusions

RBC is extremely rare in clinical practice. There is no specific examination tools for the diagnosis before surgery. Imaging examination can provide limited clinical data. Surgical resection is an efficacious treatment, and most patients can obtain favorable clinical prognosis.

图1 一例腹膜后支气管源性囊肿患者腹部CT图像注:a为平扫见腹膜后囊性占位;b、c、d分别为横断面、冠状位、矢状位,动脉期示囊肿无强化;e、f分别为静脉期和肝胆期示囊肿无强化(箭头所示)
图2 一例腹膜后支气管源性囊肿患者病理学检查(HE ×400)注:镜下见囊壁衬覆纤毛柱状上皮,皮下见典型平滑肌样结构,局灶可见黏液腺及不规则软骨,间质内见少量炎细胞浸润
[14]
梁凯,汪大伟,程贵余, 等. 呼吸系统外支气管囊肿20例外科治疗[J]. 中国现代手术学杂志, 2013, 17(6):441-444.
[15]
Vyas D, Pihl K, Kavuturu S, et al. Mesothelioma as a rapidly developing giant abdominal cyst[J]. World J Surg Oncol, 2012(10):277.
[16]
Kim NR, Kim HH, Suh YL. Cutaneous bronchogenic cyst of the abdominal wall[J]. Pathol Int, 2010, 51(12):970-973.
[17]
沈宏亮,张道新,吕文成, 等. 腹膜后异位支气管囊肿致左肾积水1例及文献复习[J].临床泌尿外科杂志, 2010, 25(10):748-749.
[18]
张毅,魏翔,潘铁成. 异位支气管囊肿的诊断和外科治疗[J]. 临床肺科杂志, 2009, 14(10):1304-1305.
[19]
Rubin S, Sandu S, Durand E, et al. Diaphragmatic rupture during labour, two years after an intra-oesophageal rupture of a bronchogenic cyst treated by an omental wrapping[J]. Interact Cardiovasc Thorac Surg, 2009, 9(2):374-376.
[20]
李长英,黄学全,丁仕义, 等. 腹膜后间隙支气管囊肿一例[J]. 中华放射学杂志, 2007, 41(7):701.
[1]
周建鹏,韦金梅,邓静敏. 先天性支气管囊肿41例临床特征分析[J]. 广西医科大学学报, 2020, 37(10):1877-1881.
[2]
荚培辉,罗猛,张庆斌. 支气管源性囊肿的诊断和外科治疗[J]. 贵州中医药大学学报, 2020, 42(4):42-47.
[3]
Lat T, Hayek SA, Sikka P, et al. Infected bronchogenic cyst with left atrial, pulmonary artery, and esophageal compression[J]. Fed Pract, 2020, 37(4):190-193.
[4]
Roversi M, Porcaro F, Francalanci P, et al. Recurrent wheezing in pre-school age: not only airway reactivity![J]. Front Pediatr, 2020(8):101.
[5]
张繁,伏文皓,彭洋, 等. 腹腔异位支气管囊肿的影像学表现及文献复习[J]. 中华放射学杂志, 2020, 54(4):368-371.
[6]
荚培辉,张庆斌. 腹腔异位支气管源性囊肿1例及文献复习[J]. 齐齐哈尔医学院学报, 2020, 41(6):725-726.
[7]
Santos I, Barros J, Lopes T, et al. Bronchogenic cyst of the neck in an elder patient: a case report[J]. Int J Surg Case Rep, 2019(64):128-132.
[8]
韩英杰,张卫锋,任占良, 等. 单操作孔电视胸腔镜手术治疗纵隔支气管囊肿[J]. 中国现代手术学杂志, 2019, 23(5):360-363.
[9]
王丽娜,李天云,李振武. 腹腔异位支气管囊肿的影像诊断[J]. 影像诊断与介入放射学, 2019, 28(4):282-286.
[10]
夏海泓,张鸣,尉从新. 腹膜后支气管源性囊肿的CT表现[J]. 中国中西医结合影像学杂志, 2019, 17(2):187-188.
[11]
马英杰,朱海峰,王永进, 等. 腹膜后异位支气管源性囊肿一例[J]. 放射学实践, 2019, 34(2):232.
[12]
彭天洲,雒静,吴磊, 等. 颈部异位型支气管囊肿1例报道并文献复习[J]. 口腔疾病防治, 2016, 24(3):183-186.
[13]
张云娜,于书壮,崔冰, 等. 腹膜后支气管源性囊肿一例[J].临床放射学杂志, 2014, 33(12):1844-1845.
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