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钝性腹部创伤后腹膜后海绵状淋巴管瘤出血

[Bleeding into retroperitoneal cavernous lymphangioma following blunt abdominal trauma].

作者信息

Pumberger W, Wiesbauer P

机构信息

Klinische Abteilung für Kinderchirurgie, Universität, Wien, Währinger Gürtel 18-20, A-1090 Wien, Osterreich.

出版信息

Unfallchirurg. 2003 Jun;106(6):522-4. doi: 10.1007/s00113-003-0570-4.

Abstract

The case of a 12-year-old boy with hemorrhage into a previously unknown retroperitoneal lesion following blunt abdominal trauma is reported. Diagnostic work-up of a post-traumatic surgical acute abdomen revealed a giant multicystic tumor in the retroperitoneum, which could be completely removed. Histological examination confirmed the suspected diagnosis of congenital lymphangioma. Attention should be drawn to the possible coincidence of trauma and a preexisting asymptomatic lesion. Knowledge of the characteristic ultrasonographic and computer tomographic features is essential in order to make a correct diagnosis.

摘要

报告了一名12岁男孩的病例,该男孩在腹部钝性创伤后,先前未知的腹膜后病变出现出血。对创伤后手术治疗的急性腹痛进行的诊断检查显示腹膜后有一个巨大的多囊性肿瘤,该肿瘤可被完全切除。组织学检查证实了先天性淋巴管瘤的疑似诊断。应注意创伤与先前存在的无症状病变可能同时存在。了解其特征性超声和计算机断层扫描特征对于做出正确诊断至关重要。

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