METHODS: This article reports the case of a 31-year-old adult male diagnosed with thyroid nodules before admission. The patient underwent left thyroidectomy and isthmusectomy. During the surgery, esophageal cysts were identified in the esophageal muscle and thyroid glands. The pathology results confirmed a nodular goiter combined with esophageal cysts. Postoperatively, the patient developed a neck infection and underwent another operation and broad-spectrum antibiotic treatment for recovery.
CONCLUSIONS: We report the first clinical case of an esophageal cyst located within the thyroid gland that was successfully treated surgically. Esophageal cyst located within the thyroid gland cause difficulties in diagnosis. In the present study, the contents of the esophageal cysts were calcified foci, and a small amount of fluid mixture, which were easily misdiagnosed as thyroid nodules and misled the surgical methods.
方法:本文报道1例31岁成年男性入院前诊断为甲状腺结节的病例。患者接受了左甲状腺切除术和峡部切除术。在手术过程中,在食管肌肉和甲状腺中发现了食管囊肿。病理结果证实为结节性甲状腺肿合并食管囊肿。术后,患者出现颈部感染,并接受了另一次手术和广谱抗生素治疗以恢复。
结论:我们报告了首例成功手术治疗的位于甲状腺内的食管囊肿的临床病例。位于甲状腺内的食管囊肿导致诊断困难。在本研究中,食管囊肿的内容物是钙化灶,和少量的流体混合物,易误诊为甲状腺结节,误导手术方法。