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Stridor with recurrent chest infection.

机译:反复发作的胸部感染。

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A 2.5-year-old boy with noisy breathing and recurrent chest congestion for 9 months, presented inspiratory stridor and decreased air entry in the middle zone of the left hemithorax. Chest radiography showed a cavity with an air-fluid level in the left lung parenchyma and deviation of the trachea to right (Figure 1). Computed tomography of the chest and neck showed a well-defined air-containing cystic mass with high attenuation in the left lung, and a cystic lesion in the left side of the neck and superior mediastinum, compressing the trachea (Figure 2). Laboratory tests were normal. Both cysts were excised without damaging the lung parenchyma in case of intrapulmonary cyst, and without opening the esophageal mucosa in case of intralum-inal cervical esophageal cyst. The pathological diagnosis was intrapulmonary bronchogenic cyst and duplication cyst of the esophagus.
机译:一个2.5岁的男孩,呼吸嘈杂,反复出现胸部充血9个月,出现吸气性喘鸣,并且左半胸中央区的空气进入减少。胸部X线摄片显示左肺实质内有​​气液腔,气管向右偏斜(图1)。胸部和颈部的计算机断层扫描显示明确界定的空气囊性肿块,左肺高度衰减,颈部左侧和纵隔上半部有囊性病变,压迫气管(图2)。实验室检查正常。在肺内囊肿的情况下,切除两个囊肿均不损害肺实质,而在腔内宫颈食管囊肿的情况下,无需打开食管粘膜。病理诊断为食管肺内支气管囊肿和重复囊肿。

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