Objective To investigate the diagnosis and therapy of mediastinal enterogenous cysts in children. Methods Clinical data of 17 cases with mediastinal enterogenous cysts within 19 years in our hospital were retrospectiv...Objective To investigate the diagnosis and therapy of mediastinal enterogenous cysts in children. Methods Clinical data of 17 cases with mediastinal enterogenous cysts within 19 years in our hospital were retrospectively analyzed. Results One case was intramural esophageal cyst and 16 cases were enteric cysts, two among which were complicated with abdominal enteric duplications. Most cases presented with symptoms of respiratory distress. Twelve cases were complicated with vertebral anomalies. Ultrasound of 12 cases and magnetic resonance imaging of 4 cases were helpful in confirming the cystic nature of these lesions. Eight cases had technetium-99m pertechnetate scintigraphy of posterior mediastinum.Conclusions Most patients present with symptoms of respiratory distress, complicated with vertebral anomalies. Ultrasonography and magnetic resonance imaging may be helpful in confirming the cystic nature of these lesions. Technetium-99m pertechnetate scintigraphy is the most effective method for differentiation of the disease from other mediastinal cysts.展开更多
BACKGROUND Mediastinal bronchogenic cysts and pericardial defects are both rare.It is extremely rare that both occur simultaneously.To the best of our knowledge,this is the first case of a coexistent bronchogenic cyst...BACKGROUND Mediastinal bronchogenic cysts and pericardial defects are both rare.It is extremely rare that both occur simultaneously.To the best of our knowledge,this is the first case of a coexistent bronchogenic cyst and pericardial defect reported in China.We performed a literature review and found a relationship between bronchogenic cysts and pericardial defects,which further revealed the correlation between the bronchus and pericardium during embryonic development.CASE SUMMARY A 14-year-old boy attended a local hospital for ankylosing spondylitis.Chest radiography showed an enhanced circular-density shadow near the left mediastinum.The patient had no chest symptoms and the physical examination was normal.Because of the mediastinal occupation,the patient visited our department of chest surgery for further treatment.During surgery,a left pericardial defect was observed.The bronchogenic cyst was removed by thoracoscopic surgery,but the pericardial defect remained untreated,and a satisfactory outcome was achieved after the operation.The patient was diagnosed with a mediastinal tumor.The pathological diagnosis of the tumor was a bronchogenic cyst.CONCLUSION This case further reveals the correlation between the bronchus and pericardium during embryonic development.展开更多
The hydatid disease establishes a real problem of public health in our country. The hydatid cyst is preferentially located at the level of the liver and the lungs. Its mediastinal location is extremely rare, represent...The hydatid disease establishes a real problem of public health in our country. The hydatid cyst is preferentially located at the level of the liver and the lungs. Its mediastinal location is extremely rare, representing 0à 4% of all the hydatic locations. The imaging plays an important role in the diagnosis of this affection and in the balance sheet of extension in search of another location. The hydatid cyst also raises a diagnostic problem with the cystic hurts of the mediastinum. We report a case of mediastinal hydatid cyst colliged in the service of general surgery at the 5th military hospital.展开更多
Hydatid disease is caused by Echinococcus granulosus parasite. It is an endemic disease;particularly in many Mediterranean countries. The liver and the lungs are most frequently involved. Bone involvement is reported ...Hydatid disease is caused by Echinococcus granulosus parasite. It is an endemic disease;particularly in many Mediterranean countries. The liver and the lungs are most frequently involved. Bone involvement is reported in 1% - 2% of the cases and about 50% of those are seen in the spine. Herein we report a case of primary spinal extradural hydatid cyst that caused paraplegia due to compression of the dorsal spinal cord and was diagnosed initially as case of lumber prolapsed intervertebral disc. The cyst was only discovered when the patient had progressive paraplegia and the preoperative provisional diagnosis was posterior mediastinal neurogenic tumor causing destruction of the pedicle and lamina of the fifth thoracic vertebra. Fortunately, she regained near full power after surgical treatment of her spinal cyst.展开更多
Objective:to investigate the clinical and pathological characteristics of bronchial cyst of the posterior mediastinum misdiagnosed as a ganglioneuroma,and to improve the level of their diagnosis,diflerential diagnosis...Objective:to investigate the clinical and pathological characteristics of bronchial cyst of the posterior mediastinum misdiagnosed as a ganglioneuroma,and to improve the level of their diagnosis,diflerential diagnosis,and treatment.Methods:the clinical data and pathological findings of a young woman misdiagnosed with a ganglioneuroma was collected and analyzed,and the relevant literature were reviewed.Results:the patient had no specific clinical symptoms.The right posterior mediastinum was accidentally found due to a physical examination for COVID-19.The enhanced chest computed tomography(CT)showed a ganglioneuroma.After a thoracoscopic resection of the lesion,a pathological diagnosis revealed a posterior mediastinal bronchial cyst.Conclusion:bronchial cyst of the mediastinum is rare and their clinical symptoms are atypical and can be easily diagnosed as a ganglioneuroma.It can be preliminarily judged by laboratory and imaging examination and con-finned by pathological examination.The main treatment is surgical resection.展开更多
We report here a case of a patient who underwent surgical resection of a giant pericardial cyst that was growing rapidly, causing anterior chest pain. An asymptomatic 56-year-old woman underwent a complete medical che...We report here a case of a patient who underwent surgical resection of a giant pericardial cyst that was growing rapidly, causing anterior chest pain. An asymptomatic 56-year-old woman underwent a complete medical checkup in a health-care center. Her chest X-ray showed an unusually large bulge on the left cardiac border, and she was referred to our hospital. The chest X-ray taken 2 years ago in another hospital showed similar bulge on the same left cardiac border, but it was noticeably smaller. Chest CT revealed a 9.5 × 4.5 cm pericardial cyst within the anterolateral aspect of the left cardiac border. The CT number of the mass was approximately 15 - 20 HU. The mass also showed slight hyperintensity on T1-weighted MR images and hyperintensity on T2-weighted MR images. Four weeks later, she experienced anterior chest pain for the first time, and the chest X-ray and CT showed an increase in the size of the pericardial cyst. The CT number of the mass increased to approximately 30 - 40 HU. The cyst was successfully removed by video-assisted thoracic surgery. The pericardial cyst was diagnosed as benign according to the results of histopathology. We conclude that the rapid growth of the pericardial cyst was caused by intracystic hemorrhage that originated from vascularized connective tissue in the cyst wall.展开更多
目的总结胸腔镜手术治疗小儿纵隔前肠源性囊肿的经验。方法2019年7月~2023年7月我科采用侧胸入路全胸腔镜手术(三孔法)治疗纵隔前肠源性囊肿27例,健侧卧位,观察孔为肩胛下第5肋间,另外2个操作孔根据病变位置及腔镜菱形法建立,均为5 mm t...目的总结胸腔镜手术治疗小儿纵隔前肠源性囊肿的经验。方法2019年7月~2023年7月我科采用侧胸入路全胸腔镜手术(三孔法)治疗纵隔前肠源性囊肿27例,健侧卧位,观察孔为肩胛下第5肋间,另外2个操作孔根据病变位置及腔镜菱形法建立,均为5 mm trocar,CO_(2)气胸压力6 mm Hg。电钩打开囊肿脏层胸膜,肠钳固定牵拉囊肿,分离钳、电钩交替分离将囊肿完整剥除。结果无中转开胸。完整切除26例,残留部分囊壁1例。打开食管肌层9例。5例囊肿遮挡手术视野,不利于观察,穿刺囊肿抽液。手术时间45~120 min(中位时间70 min)。出血量3~10 ml(中位数5 ml)。术后住院时间2~5 d(中位数3 d)。27例随访1~43个月(中位数22个月),均无复发;2例被压迫的气管全部恢复,肺气肿均恢复。结论胸腔镜手术治疗小儿纵隔前肠源性囊肿安全可行,若病变周围结构较为复杂,必要时可联合支气管镜或胃镜手术。展开更多
Hypercalcemic crisis, generally accepted as serum calcium concentration greater than 3.5 mmol/L,constitues a life-threatening endocrinologic emergency,and is most frequently caused by either primary hyperparathyroidi...Hypercalcemic crisis, generally accepted as serum calcium concentration greater than 3.5 mmol/L,constitues a life-threatening endocrinologic emergency,and is most frequently caused by either primary hyperparathyroidism （PHPT） or malignant diseases.Parathyroid cysts are uncommon lesions, most of that are located in the low part of the neck. By routine neck ultrasound scan investigation in a large series of 6621 patients, only 5 parathyroid cysts were detected, yielding a prevalence of 0.075% in setting of unselected patients.The parathyroid cysts in the mediastinum are much less frequently encountered, with only 106 cases reported in English literature.2,3 Moreover, less than half of these cases presented as functional with elevated serum calcium and parathyroid hormone, and only 10 cases were associated with hypercalcemic crisis.3 Herein, we present a rare case of mediastinal parathyroid cyst associated with recurrent hypercalcemic crisis, which diagnosed by ultrasound-guided fine needle aspiration （FNA）.展开更多
文摘Objective To investigate the diagnosis and therapy of mediastinal enterogenous cysts in children. Methods Clinical data of 17 cases with mediastinal enterogenous cysts within 19 years in our hospital were retrospectively analyzed. Results One case was intramural esophageal cyst and 16 cases were enteric cysts, two among which were complicated with abdominal enteric duplications. Most cases presented with symptoms of respiratory distress. Twelve cases were complicated with vertebral anomalies. Ultrasound of 12 cases and magnetic resonance imaging of 4 cases were helpful in confirming the cystic nature of these lesions. Eight cases had technetium-99m pertechnetate scintigraphy of posterior mediastinum.Conclusions Most patients present with symptoms of respiratory distress, complicated with vertebral anomalies. Ultrasonography and magnetic resonance imaging may be helpful in confirming the cystic nature of these lesions. Technetium-99m pertechnetate scintigraphy is the most effective method for differentiation of the disease from other mediastinal cysts.
文摘BACKGROUND Mediastinal bronchogenic cysts and pericardial defects are both rare.It is extremely rare that both occur simultaneously.To the best of our knowledge,this is the first case of a coexistent bronchogenic cyst and pericardial defect reported in China.We performed a literature review and found a relationship between bronchogenic cysts and pericardial defects,which further revealed the correlation between the bronchus and pericardium during embryonic development.CASE SUMMARY A 14-year-old boy attended a local hospital for ankylosing spondylitis.Chest radiography showed an enhanced circular-density shadow near the left mediastinum.The patient had no chest symptoms and the physical examination was normal.Because of the mediastinal occupation,the patient visited our department of chest surgery for further treatment.During surgery,a left pericardial defect was observed.The bronchogenic cyst was removed by thoracoscopic surgery,but the pericardial defect remained untreated,and a satisfactory outcome was achieved after the operation.The patient was diagnosed with a mediastinal tumor.The pathological diagnosis of the tumor was a bronchogenic cyst.CONCLUSION This case further reveals the correlation between the bronchus and pericardium during embryonic development.
文摘The hydatid disease establishes a real problem of public health in our country. The hydatid cyst is preferentially located at the level of the liver and the lungs. Its mediastinal location is extremely rare, representing 0à 4% of all the hydatic locations. The imaging plays an important role in the diagnosis of this affection and in the balance sheet of extension in search of another location. The hydatid cyst also raises a diagnostic problem with the cystic hurts of the mediastinum. We report a case of mediastinal hydatid cyst colliged in the service of general surgery at the 5th military hospital.
文摘Hydatid disease is caused by Echinococcus granulosus parasite. It is an endemic disease;particularly in many Mediterranean countries. The liver and the lungs are most frequently involved. Bone involvement is reported in 1% - 2% of the cases and about 50% of those are seen in the spine. Herein we report a case of primary spinal extradural hydatid cyst that caused paraplegia due to compression of the dorsal spinal cord and was diagnosed initially as case of lumber prolapsed intervertebral disc. The cyst was only discovered when the patient had progressive paraplegia and the preoperative provisional diagnosis was posterior mediastinal neurogenic tumor causing destruction of the pedicle and lamina of the fifth thoracic vertebra. Fortunately, she regained near full power after surgical treatment of her spinal cyst.
文摘Objective:to investigate the clinical and pathological characteristics of bronchial cyst of the posterior mediastinum misdiagnosed as a ganglioneuroma,and to improve the level of their diagnosis,diflerential diagnosis,and treatment.Methods:the clinical data and pathological findings of a young woman misdiagnosed with a ganglioneuroma was collected and analyzed,and the relevant literature were reviewed.Results:the patient had no specific clinical symptoms.The right posterior mediastinum was accidentally found due to a physical examination for COVID-19.The enhanced chest computed tomography(CT)showed a ganglioneuroma.After a thoracoscopic resection of the lesion,a pathological diagnosis revealed a posterior mediastinal bronchial cyst.Conclusion:bronchial cyst of the mediastinum is rare and their clinical symptoms are atypical and can be easily diagnosed as a ganglioneuroma.It can be preliminarily judged by laboratory and imaging examination and con-finned by pathological examination.The main treatment is surgical resection.
文摘We report here a case of a patient who underwent surgical resection of a giant pericardial cyst that was growing rapidly, causing anterior chest pain. An asymptomatic 56-year-old woman underwent a complete medical checkup in a health-care center. Her chest X-ray showed an unusually large bulge on the left cardiac border, and she was referred to our hospital. The chest X-ray taken 2 years ago in another hospital showed similar bulge on the same left cardiac border, but it was noticeably smaller. Chest CT revealed a 9.5 × 4.5 cm pericardial cyst within the anterolateral aspect of the left cardiac border. The CT number of the mass was approximately 15 - 20 HU. The mass also showed slight hyperintensity on T1-weighted MR images and hyperintensity on T2-weighted MR images. Four weeks later, she experienced anterior chest pain for the first time, and the chest X-ray and CT showed an increase in the size of the pericardial cyst. The CT number of the mass increased to approximately 30 - 40 HU. The cyst was successfully removed by video-assisted thoracic surgery. The pericardial cyst was diagnosed as benign according to the results of histopathology. We conclude that the rapid growth of the pericardial cyst was caused by intracystic hemorrhage that originated from vascularized connective tissue in the cyst wall.
文摘Hypercalcemic crisis, generally accepted as serum calcium concentration greater than 3.5 mmol/L,constitues a life-threatening endocrinologic emergency,and is most frequently caused by either primary hyperparathyroidism （PHPT） or malignant diseases.Parathyroid cysts are uncommon lesions, most of that are located in the low part of the neck. By routine neck ultrasound scan investigation in a large series of 6621 patients, only 5 parathyroid cysts were detected, yielding a prevalence of 0.075% in setting of unselected patients.The parathyroid cysts in the mediastinum are much less frequently encountered, with only 106 cases reported in English literature.2,3 Moreover, less than half of these cases presented as functional with elevated serum calcium and parathyroid hormone, and only 10 cases were associated with hypercalcemic crisis.3 Herein, we present a rare case of mediastinal parathyroid cyst associated with recurrent hypercalcemic crisis, which diagnosed by ultrasound-guided fine needle aspiration （FNA）.
