有症状的副鼻腔气囊模仿食道分泌体:一种罕见的呈现和诊断挑战
Ghala Almezrem1, Mishal M AlMutairi1
1Department of Otorhinolaryngology-Head and Neck Surgery, Farwaniya Hospital, Farwaniya, KWT.
Cureus
|November 10, 2025
概括
一种罕见的副鼻腔空气囊 (PTAC) 模仿了患有部疼痛和发烧的患者的食道分泌体. 保守的抗生素治疗导致症状的缓解,强调了准确诊断的重要性.
科学领域:
- 医疗成像医学成像
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
背景情况:
- 副鼻腔气囊 (PTAC) 是一种罕见的先天性异常.
- PTACs的症状呈现不常见,并且可以模仿其他疾病.
- 精确区分食道病理对于适当的管理至关重要.
研究的目的:
- 报告一种罕见的症状性腹空气囊的病例.
- 要突出诊断挑战在区分PTAC从食道分泌器.
- 强调多式成像和内镜在诊断中的作用.
主要方法:
- 一个72岁的妇女的病例介绍,她患有急性耳鼻,部疼痛和发烧.
- 最初的计算机断层扫描 (CT) 扫描表明一个复杂的侧面食道分泌体.
- 胃谱吞研究,支气管镜检查和上部内镜检查以进一步评估.
主要成果:
- 胃谱吞揭示了模仿食道分泌体的外部痕,但没有透.
- 支气管检查和上部内镜检查显示,与气道或食道没有联系.
- 确立了带有叠加炎症的副鼻腔气囊的诊断.
- 通过静脉注射抗生素进行保守的治疗,导致症状完全消失.
结论:
- 有症状的副腹腔空气囊可以异常呈现,模仿食道分泌管.
- 多式成像和内镜评估对于准确的诊断至关重要.
- 对PTAC的认识至关重要,以防止误诊和不必要的外科干预.
相关概念视频
Esophageal Perforation-II: Clinical Manifestations and Management
477
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
477
Esophageal Strictures-II: Clinical Features and Management
404
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
404
Esophageal Perforation-I: Introduction
405
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
405
Barrett Esophagus-II: Clinical Manifestations and Management
748
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
748
Esophageal Strictures-I: Introduction
614
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
614
Pneumothorax-II
874
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
874


