Ma Juine-Yih, Lin Yu-Cheng, Tseng Sheng-Hong, Lai Tsung-Hsein, Chen Yun
Department of Pediatrics, Far Eastern Memorial Hospital, Taipei County 220, Taiwan.
J Formos Med Assoc. 2004 Nov;103(11):869-71.
Duplication cyst occupying the retro- and intra-peritoneal space is a rare condition. We describe a case of duplication cyst in a 13-year-old girl who presented with abdominal pain, vomiting, and a lower abdominal mass. Plain abdominal X-ray films revealed local ileus over the lower abdomen. Ultrasonography revealed 2 double-layered cystic masses over the lower abdomen with a suspicious communicating tract. Mild hydropelvis of the right kidney was also noted. Abdominal computed tomography revealed 2 cystic lesions. One was located at the pelvic cavity just above the urinary bladder and the other was in the left retroperitoneal space. Laparotomy revealed a dumbbell-shaped intra-retroperitoneal duplication cyst with a small communicating tract. The cyst was excised without disturbing bowel continuity and the vascular supply. The patient was doing well at 1-year follow-up.
占据腹膜后和腹腔内间隙的重复囊肿是一种罕见疾病。我们描述了一例13岁女孩的重复囊肿病例，该女孩表现为腹痛、呕吐和下腹部肿块。腹部平片显示下腹部局部肠梗阻。超声检查显示下腹部有2个双层囊性肿块，并有可疑的连通管道。还注意到右肾轻度肾盂积水。腹部计算机断层扫描显示2个囊性病变。一个位于膀胱上方的盆腔内，另一个位于左腹膜后间隙。剖腹手术发现一个哑铃形的腹膜后内重复囊肿，有一个小连通管道。囊肿被切除，未干扰肠管连续性和血管供应。患者在1年随访时情况良好。
