Kang J C, Jao S W, Lee W H, Chao P C
Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Zhonghua Yi Xue Za Zhi (Taipei). 1999 Aug;62(8):560-3.
A rare case of a lymphatic cyst of the ascending colon is reported. The lobulated and fluctuant lesion, located in the hepatic flexure, was diagnosed by barium enema and colonoscopy, incidentally. Surgical treatment with segmental resection of the ascending colon was done because of the risk of obstruction and the question of an underlying malignancy. The clinical features, appropriate treatment, preoperative diagnosis and histopathology are discussed. We emphasize that lymphatic cysts are very rare and are difficult to identify by radiology or colonoscopy before surgery. They must be included in the differential diagnosis of submucosal tumors such as lipomas, leiomyomas and hemangiomas.
报告了一例升结肠淋巴管囊肿的罕见病例。该分叶状且有波动感的病变位于肝曲，通过钡剂灌肠和结肠镜检查偶然发现。由于存在梗阻风险以及潜在恶性肿瘤的问题，遂行升结肠节段性切除手术治疗。文中讨论了其临床特征、恰当的治疗方法、术前诊断及组织病理学。我们强调淋巴管囊肿非常罕见，术前通过放射学或结肠镜检查很难识别。它们必须纳入黏膜下肿瘤如脂肪瘤、平滑肌瘤和血管瘤的鉴别诊断中。
