PDF(Pubmed)
Abstract：
BACKGROUND: Gastric bronchogenic cysts (BCs) are extremely rare cystic masses caused by abnormal development of the respiratory system during the embryonic period. Gastric bronchial cysts are rare lesions that were first reported in 1956; as of 2023, only 33 cases are available in the PubMed online database. BCs usually have no clinical symptoms in the early stage, and imaging findings also lack specificity. Therefore, they are difficult to diagnose before histopathological examination.
METHODS: A 34-year-old woman with respiratory distress presented at our hospital. Endoscopic ultrasound revealed an anechoic mass between the spleen, left kidney and gastric fundus, with hyperechogenic and soft elastography textures and with a size of approximately 6.5 cm × 4.0 cm. Furthermore, a computed tomography scan demonstrated high density between the posterior stomach and the spleen and the left kidney, with uniform internal density and a small amount of calcification. The maximum cross section was approximately 10.1 cm × 6.1 cm, and the possibility of a cyst was high. Because the imaging findings did not suggest a malignancy and because the patient required complete resection, she underwent laparotomy surgery. Intraoperatively, this cystic lesion was found to be located in the posterior wall of the large curvature of the fundus and was approximately 8 cm × 6 cm in size. Finally, the pathologists verified that the cyst in the fundus was a gastric BC. The patient recovered well, her symptoms of chest tightness disappeared, and the abdominal drain was removed on postoperative day 6, after which she was discharged on day 7 for 6 months of follow-up. She had no tumor recurrence or postoperative complications during the follow-up.
CONCLUSIONS: This is a valuable report as it describes an extremely rare case of gastric BC. Moreover, this was a very young patient with a large BC in the stomach.
METHODS: A 34-year-old woman with respiratory distress presented at our hospital. Endoscopic ultrasound revealed an anechoic mass between the spleen, left kidney and gastric fundus, with hyperechogenic and soft elastography textures and with a size of approximately 6.5 cm × 4.0 cm. Furthermore, a computed tomography scan demonstrated high density between the posterior stomach and the spleen and the left kidney, with uniform internal density and a small amount of calcification. The maximum cross section was approximately 10.1 cm × 6.1 cm, and the possibility of a cyst was high. Because the imaging findings did not suggest a malignancy and because the patient required complete resection, she underwent laparotomy surgery. Intraoperatively, this cystic lesion was found to be located in the posterior wall of the large curvature of the fundus and was approximately 8 cm × 6 cm in size. Finally, the pathologists verified that the cyst in the fundus was a gastric BC. The patient recovered well, her symptoms of chest tightness disappeared, and the abdominal drain was removed on postoperative day 6, after which she was discharged on day 7 for 6 months of follow-up. She had no tumor recurrence or postoperative complications during the follow-up.
CONCLUSIONS: This is a valuable report as it describes an extremely rare case of gastric BC. Moreover, this was a very young patient with a large BC in the stomach.
摘要：
背景：胃支气管囊肿（BCs）是胚胎期呼吸系统发育异常引起的极其罕见的囊性肿块。胃支气管囊肿是1956年首次报道的罕见病变；截至2023年，PubMed在线数据库中只有33例病例。BCs通常在早期没有临床症状，影像学检查结果也缺乏特异性。因此,在组织病理学检查之前很难诊断。
方法：一位34岁的呼吸窘迫患者出现在我们医院。内窥镜超声显示脾脏之间有消声肿块，左肾和胃底，具有高回声和软弹性成像纹理，大小约为6.5cm×4.0cm。此外，计算机断层扫描显示后胃和脾脏和左肾之间的高密度，内部密度均匀，有少量钙化。最大横截面约为10.1cm×6.1cm,囊肿的可能性很高。因为影像学检查结果没有提示恶性肿瘤，并且患者需要完全切除，她接受了剖腹手术。术中,发现该囊性病变位于眼底大曲率的后壁，大小约为8cm×6cm。最后,病理学家证实眼底囊肿是胃BC。病人恢复得很好,她胸闷的症状消失了,术后第6天取出腹腔引流管，术后第7天出院，随访6个月。随访期间无肿瘤复发及术后并发症。
结论：这是一个有价值的报告，因为它描述了一个非常罕见的胃BC病例。此外，这是一个非常年轻的病人，胃里有一个大的BC。
方法：一位34岁的呼吸窘迫患者出现在我们医院。内窥镜超声显示脾脏之间有消声肿块，左肾和胃底，具有高回声和软弹性成像纹理，大小约为6.5cm×4.0cm。此外，计算机断层扫描显示后胃和脾脏和左肾之间的高密度，内部密度均匀，有少量钙化。最大横截面约为10.1cm×6.1cm,囊肿的可能性很高。因为影像学检查结果没有提示恶性肿瘤，并且患者需要完全切除，她接受了剖腹手术。术中,发现该囊性病变位于眼底大曲率的后壁，大小约为8cm×6cm。最后,病理学家证实眼底囊肿是胃BC。病人恢复得很好,她胸闷的症状消失了,术后第6天取出腹腔引流管，术后第7天出院，随访6个月。随访期间无肿瘤复发及术后并发症。
结论：这是一个有价值的报告，因为它描述了一个非常罕见的胃BC病例。此外，这是一个非常年轻的病人，胃里有一个大的BC。
