文献类型：期刊文献

英文题名：Gastric bronchogenic cyst mimicking adrenal Phaeochromocytoma: a case report

作者：Li, Fan-Fan[1];Li, Xiao-Ping[2];Li, Yong-Shun[1];Wang, Xiao-Ping[3];Yang, Xiao-Chun[4]

第一作者：Li, Fan-Fan

通信作者：Yang, XC[1]

机构：[1]Gansu Univ Chinese Med, Lanzhou 730000, Gansu, Peoples R China;[2]Qing Shui Cty Hosp, Dept Urol, Tian Shui 741400, Gansu, Peoples R China;[3]Gansu Prov Hosp, Urinary Examinat Treatment Room, Lanzhou 73000, Gansu, Peoples R China;[4]Gansu Prov Hosp, Dept Urol, Lanzhou 730000, Gansu, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), Gansu Prov Hosp, Dept Urol, Lanzhou 730000, Gansu, Peoples R China.

年份：2025

卷号：131

外文期刊名：INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS

收录：Scopus(收录号：2-s2.0-105003801797);WOS:【ESCI(收录号:WOS:001487959800001)】；

基金：Sources of Funding This work was supported by the Natural Science Foundation of Gansu Province (22JR5RA685) .

语种：英文

外文关键词：Imaging; Gastric bronchogenic cyst; Phaeochromocytoma; Misdiagnosis; Case report

摘要：Background: Bronchogenic cysts (BCs) are rare foregut-derived cystic malformations that can develop within the respiratory tract. While they are commonly found in the mediastinum or lungs, their occurrence at ectopic sites, such as the stomach, is extremely rare. This case report highlights the challenges in diagnosing a gastric bronchogenic cyst and the potential for misdiagnosis a pheochromocytoma, especially when associated with hypertension. Case presentation: A 47-year-old male presented with a 6-day history of headache and nausea, and was found to have elevated blood pressure. Imaging studies, including computed tomography (CT) scans, suggested the possibility of a pheochromocytoma located near the left adrenal gland. However, subsequent surgical exploration revealed a cystic lesion near the posterior gastric wall, contiguous with the posterior gastric fundus. Pathological examination confirmed the diagnosis of a bronchogenic cyst in the gastric fundus. Discussion: Bronchogenic cysts are congenital malformations that can present diagnostic challenges, especially when located in atypical sites like the stomach or when associated with hypertension, potentially mimicking pheochromocytoma. Accurate diagnosis relies on imaging, laboratory tests for metanephrines, and careful clinical assessment to differentiate from other tumors. Conclusions: Correct differentiation between gastric bronchogenic cysts and pheochromocytoma is crucial, emphasizing the need for thorough diagnostic workup and considerate surgical approach.