膈肌支气管源性囊肿误诊为肺囊肿一例

支气管源性囊肿为一种先天性病变,发生于膈肌罕见。该文报道1例膈肌支气管源性囊肿被误诊为肺囊肿的患者。其为46岁女性,因行胸部CT检查发现胸腔内肿块入院,结合MRI结果,术前诊断为右下肺囊肿,排除手术禁忌证后于胸腔镜下切除囊肿,术中发现囊肿发生于膈肌,与右下肺组织分界清晰,最终病理诊断为膈肌支气管源性囊肿。术后随访半年,患者情况良好。

A case of bronchogenic cyst of the diaphragm misdiagnosed as pulmonary cyst

Bronchogenic cyst is a congenital disease, which is rarely derived from the diaphragm. In this article, one case of bronchogenic cyst of the diaphragm misdiagnosed as pulmonary cyst was reported. A 46-year-old female patient was admitted to our hospital due to intrathoracic mass detected by chest CT. Combined with MRI results, she was diagnosed with the right lower pulmonary cyst before operation. After eliminating surgical contraindications, the cyst was removed under thoracoscope. Intraoperatively, it was found that the cyst originated from the diaphragm, which had a clear boundary with the right lower lung tissues. The diagnosis of bronchogenic cyst of the diaphragm was confirmed by pathological examination. Physical conditions of the patient were stable during postoperative 6-month follow-up.