Young patient with a giant gastric bronchogenic cyst:A case report and review of literature  

作　　者：Xu-Ren Lu Xu-Guang Jiao Qi-Hang Sun Bo-Wen Li Qing-Shun Zhu Guang-Xu Zhu Jian-Jun Qu 

机构地区：[1]School of Clinical Medicine,Shandong Second Medical University,Weifang 261000,Shandong Province,China [2]Department of Gastrointestinal Surgery Medical Center,The First Affiliated Hospital,Shandong Second Medical University,Weifang 261000,Shandong Province,China

出　　处：《World Journal of Clinical Cases》2024年第13期2254-2262,共9页世界临床病例杂志

基　　金：Supported by Weifang Municipal Health Commission Scientific Research Project,No.WFWSHKK-2021-028;Shandong Province Medical Health Science and Technology Project,No.202304010544.

摘　　要：BACKGROUND Gastric bronchogenic cysts(BCs)are extremely rare cystic masses caused by abnormal development of the respiratory system during the embryonic period.Gastric bronchial cysts are rare lesions that were first reported in 1956;as of 2023,only 33 cases are available in the PubMed online database.BCs usually have no clinical symptoms in the early stage,and imaging findings also lack specificity.Therefore,they are difficult to diagnose before histopathological examination.CASE SUMMARY A 34-year-old woman with respiratory distress presented at our hospital.Endoscopic ultrasound revealed an anechoic mass between the spleen,left kidney and gastric fundus,with hyperechogenic and soft elastography textures and with a size of approximately 6.5 cm×4.0 cm.Furthermore,a computed tomography scan demonstrated high density between the posterior stomach and the spleen and the left kidney,with uniform internal density and a small amount of calcification.The maximum cross section was approximately 10.1 cm×6.1 cm,and the possibility of a cyst was high.Because the imaging findings did not suggest a malignancy and because the patient required complete resection,she underwent laparotomy surgery.Intraoperatively,this cystic lesion was found to be located in the posterior wall of the large curvature of the fundus and was approximately 8 cm×6 cm in size.Finally,the pathologists verified that the cyst in the fundus was a gastric BC.The patient recovered well,her symptoms of chest tightness disappeared,and the abdominal drain was removed on postoperative day 6,after which she was discharged on day 7 for 6 months of follow-up.She had no tumor recurrence or postoperative complications during the follow-up.CONCLUSION This is a valuable report as it describes an extremely rare case of gastric BC.Moreover,this was a very young patient with a large BC in the stomach.

关 键 词：Bronchogenic cyst STOMACH Endoscopic ultrasound-guided fine needle aspiration ENDOSONOGRAPHY Case report 

分 类 号：R735.4[医药卫生—肿瘤]