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本文报告先天性短食管合并部分胸腔胃影像学诊断1例。患者女性,自幼多发咳嗽,且迁延不愈,偶感胸闷、气短,曾多次以肺炎和食管炎治疗,未见好转。因近期症状加重前来就诊。X线胸片示一囊状半圆形腔及液平阴影由纵隔向右侧肺野突出且边缘清晰,侧位胸片见此阴影位于后纵隔。行上消化道造影检查,可见膈肌上有一胃泡影,内见胃黏膜像。食管与胃交界处在膈肌之上,约T5水平,位置固定,食管上段轻度扩张。诊断为先天性短食管合并部分胸腔胃。
This article reports a case of congenital shortness of the esophagus combined with partial thoracostomach imaging. Female patients, since childhood cough, and delayed healing, occasional chest tightness, shortness of breath, has repeatedly pneumonia and esophagitis treatment, no improvement. Because of recent symptoms come to see a doctor. X-ray showed a cystic semicircular cavity and the level of the shadow from the mediastinum to the right lung field prominent and clear edges, lateral chest radiograph in the shadow of the posterior mediastinum. On the line of upper gastrointestinal imaging examination, we can see a bubble on the diaphragm, gastric mucosa seen inside. Esophagus and stomach at the junction of the diaphragm, about T5 level, the location of fixed, upper esophageal mild dilatation. Diagnosis of congenital short tube merger part of the thoracic stomach.