tailieunhanh - Báo cáo y học: "Thoracoscopic resection of thoracic esophageal duplication cyst containing ectopic pancreatic tissue in adult"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Thoracoscopic resection of thoracic esophageal duplication cyst containing ectopic pancreatic tissue in adult. | Takemura et al. Journal of Cardiothoracic Surgery 2011 6 118 http content 6 1 118 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Thoracoscopic resection of thoracic esophageal duplication cyst containing ectopic pancreatic tissue in adult Masashi Takemura1 Kayo Yoshida2 and Keiichirou Morimura2 Abstract Esophageal duplication cyst is a rare congenital anomaly. They can be associated with other congenital anomalies such as spinal abnormalities and tracheoesophageal fistulas. In adults almost of the patients with esophageal duplication cyst is asymptomatic and accidentally diagnosed by chest X-ray or computed tomography. However cysts may become symptomatic owing to complications such as esophageal stenosis respiratory system compression rupture infarction or malignancy. Complete surgical resection is the standard treatment even in patients with asymptmatic cysts. Traditional approach for resection is via thoracotomy. But the thoracoscopic approach makes more indicate for mediastinal diseases because of minimally invasive for patients. We describe a case with esophageal duplication cyst which contained the ectopic pancreatic tissue in the solid portion resected under the thoracoscopic approach in adult. Keywords esophageal duplication cyst thoracoscopic surgery ectopic pancreas Background In adults the patients with esophageal duplication cysts are asymptomatic and accidentally diagnosed on chest X-ray photograph or computed tomography. Cysts may become symptomatic owing to various complications such as esophageal stenosis respiratory system compression rupture infarction or malignancy 1-5 . Definitive treatment involves complete surgical resection of the cysts via thoracotomy even in asymptomatic 6 7 . But in recent years the thoracoscopic approach makes more indicate for mediastinal diseases 8 9 . In this report we describe a case of esophageal duplication cyst which contained the ectopic pancreatic tissue in the solid