Treska V, Cechura M, Hes O
Chirurgische Klinik im Fakultätskrankenhaus Plzen, Institut für pathologische Anatomie des Fakultätskrankenhauses Plzen.
Zentralbl Chir. 2003 Oct;128(10):862-5. doi: 10.1055/s-2003-44340.
Cystic abdominal lymphangioma is a rare tumor in adult age. It occurs usually in children and is localised mostly in the head and neck. Only 2-8 % of lymphangiomas are localised intraabdominally. We present a case of a 20-year-old man who complained about acute abdominal pain after physical activity. Diagnosis of intraabdominal multilocular cyst was done by ultrasound, computed tomography and coeliacography. The definitive diagnosis of lymphangioma of the hepatoduodenal ligament was established by laparotomy and histologic examination of the specimen. Cystic abdominal lymphangioma is a rare disease in adults with difficult preoperative diagnosis. The surgical extirpation often completed with resection of involved organ is the method of choice in the treatment of this rare disease.
腹部囊性淋巴管瘤在成年人中是一种罕见的肿瘤。它通常发生于儿童,大多位于头颈部。仅有2% - 8%的淋巴管瘤位于腹腔内。我们报告一例20岁男性病例,该患者在体力活动后出现急性腹痛。通过超声、计算机断层扫描和腹腔动脉造影诊断为腹腔内多房性囊肿。通过剖腹手术和标本的组织学检查确诊为肝十二指肠韧带淋巴管瘤。腹部囊性淋巴管瘤在成年人中是一种罕见疾病,术前诊断困难。手术切除,通常连同受累器官一并切除,是治疗这种罕见疾病的首选方法。