Symptomatic Mediastinal Bronchogenic Cyst Mimicking Esophageal Lesion in a Patient with Chronic Cough-A Case Report and Literature Review

一慢性咳嗽成人症狀性縱膈腔支氣管源性囊腫模擬食道病變－一病例報告及文獻回顧

10.29806/TM.200608.0009

沈耿裕(Gang-Yu Shen)；江國華(Kuo-Hwa Chiang)；馮瑤(Yao Fong)；謝俊民(Jiunn-Min Shieh)

中縱膈腔質塊 ； 支氣管源性囊腫 ； middle mediastinal mass ； bronchogenic cyst

胸腔醫學

21卷4期（2006 / 08 / 01）

362 - 368

英文

我們報告一例，罕見慢性咳嗽成人症狀性縱膈腔支氣管源性囊腫模擬食道病變病例。後來伴有吐血發生，此時X光顯示中縱膈腔質塊伴含有氣液平面。大部分支氣管源性囊腫成人是無症狀。我們這例支氣管源性囊腫有發炎性且壓迫鄰近食道及支氣管。起初影像輔助式胸腔手術試圖取出囊腫卻失敗。最後用右側胸廓切開術，完全切除了，因穩固沾粘及發炎變化的囊腫。我們回顧了相關文獻，討論支氣囊腫臨床表現及治療方法。

We present a rare case with a presentation of symptomatic bronchogenic cyst mimicking an esophageal lesion in a patient with chronic cough. The patient later suffered from hematemesis. The CXR revealed a middle mediastinal mass with an air-fluid level. The majority of adult patients with bronchogenic cyst are asymptomatic. In this case, the cyst was inflammatory and compressed surrounding organs such as the esophagus and bronchus. At first, an attempt was made to use video-assisted thoracoscopy to remove the cystic lesion, but this failed. Finally, a right-side thoracotomy was used to excise the cystic lesion, due to its firm adhesion and inflammatory change. We review the related literature and discussed the clinical presentation and management.