关键词: Bronchogenic cyst Case report Excision Laparoscopic surgery Retroperitoneal space

来  源:   DOI:10.12998/wjcc.v12.i15.2586   PDF(Pubmed)

Abstract:
BACKGROUND: Bronchogenic cysts are rare developmental anomalies that belong to the category of congenital enterogenous cysts. They arise from lung buds and are present at birth. The embryonic foregut is their origin. Typically, they are located within the chest cavity, particularly in the cavum mediastinale of the thoracic cavity or lodged in the pulmonary parenchyma, and are considered a type of lung bud malformation.
METHODS: A 49-year-old male patient was admitted to the hospital due to the detection of a retroperitoneal mass during a physical examination. Two weeks before admission, the patient underwent a physical examination and routine laboratory tests, which revealed a space-occupying mass in the retroperitoneal region. The patient did not report any symptoms (such as abdominal pain, flatulence, nausea, vomiting, high fever, or chills). The computed tomography (CT) revealed a retroperitoneal space-occupying lesion with minimal enhancement and a CT value of approximately 36 Hounsfield units. The lesion was not delineated from the boundary of the pancreatic body and was closely related to the retroperitoneum locally.
CONCLUSIONS: Following a series of tests, an abdominal mass was identified, prompting the implementation of a laparoscopic retroperitoneal mass excision procedure. During the investigation, an 8 cm × 7 cm cystic round-shaped mass with a distinct demarcation was identified in the upper posterior region of the pancreas. Subsequently, full resection of the mass was performed. Postoperative pathological examination reveled a cystic mass characterized by a smooth inner wall. The cystic mass was found to contain a white, viscous liquid within its capsule.
摘要:
背景:支气管源性囊肿是一种罕见的发育异常,属于先天性肠源性囊肿。它们来自肺芽,并在出生时存在。胚胎前肠是它们的起源。通常,它们位于胸腔内,特别是在胸腔的腔内纵隔或滞留在肺实质中,被认为是一种肺芽畸形。
方法:一名49岁男性患者因体格检查中发现腹膜后肿块而入院。入院前两周,患者接受了体格检查和常规实验室检查,显示腹膜后区域有一个占位性肿块。患者未报告任何症状(如腹痛,胀气,恶心,呕吐,高烧,或发冷)。计算机断层扫描(CT)显示腹膜后占位性病变,增强最小,CT值为约36Hounsfield单位。病变未从胰体边界划定,与腹膜后局部密切相关。
结论:经过一系列测试,确认了一个腹部肿块,提示实施腹腔镜腹膜后肿块切除术。在调查过程中,在胰腺的上后部区域发现了一个8cm×7cm的囊性圆形肿块,有明显的分界。随后,对肿块进行了完全切除.术后病理检查发现囊性肿块,其特征是内壁光滑。发现囊性肿块含有白色,其胶囊内的粘性液体。
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