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伴有腹腔疾病的肠道T细胞淋巴瘤被海绵状淋巴管瘤掩盖。

Intestinal T-cell lymphoma associated with celiac disease masked by cavernous lymphangioma.

作者信息

Valentí V, Echeveste J I, Hernández Lizóain J L, Martínez Regueira F, Beunza J J, Spiteri N R, Olea J, Gil A, Cervera M, Sola J, Cienfuegos J A

机构信息

Servicio de Cirugía y del Aparato Digestivo. Clínica Universitaria de Navarra. Spain.

出版信息

Rev Esp Enferm Dig. 2003 Sep;95(9):654-7, 650-3.

Abstract

We present the case of a patient admitted to our emergency ward with a clinical setting of acute abdominal pain and a history of cavernous lymphangioma, diagnosed in another center by exploratory lapartomy. The patient presented complete analysis including serology tests, as well as an abdominal CT scan that revealed multiple large size retroperitoneal cysts. In view of the clinical symptomatology and results of the tests, a second CT scan was carried out upon admission. As a result of the findings obtained, a second exploratory laparotomy was carried out in which intestinal resection of the perforated jejunal loop and largest cysts was performed. Pathological anatomy diagnosed an intestinal lymphoma associated with enteropathy and abdominal cysts compatible with cavernous lymphangioma. In this work we describe both pathologies, the most characteristic aspects are analyzed and the etiology and possible relation between both entities is discussed.

摘要

我们报告了一例因急性腹痛入院的患者,该患者有海绵状淋巴管瘤病史,曾在另一中心通过剖腹探查术确诊。患者进行了包括血清学检测在内的全面分析,以及腹部CT扫描,结果显示多个大尺寸的腹膜后囊肿。鉴于临床症状和检查结果,入院时进行了第二次CT扫描。根据检查结果,进行了第二次剖腹探查术,对穿孔的空肠袢和最大的囊肿进行了肠切除。病理解剖诊断为与肠病相关的肠道淋巴瘤,腹部囊肿符合海绵状淋巴管瘤。在本研究中,我们描述了这两种病理情况,分析了最具特征性的方面,并讨论了两者的病因及可能的关系。

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