Sawada Fumi, Yoshimura Rie, Ito Kenichi, Nakamura Kazuhiko, Nawata Hajime, Mizumoto Kazuhiro, Shimizu Shuji, Inoue Takahiro, Yao Takashi, Tsuneyoshi Masazumi, Kondo Atushi, Harada Naohiko
Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
World J Gastroenterol. 2006 Feb 7;12(5):825-7. doi: 10.3748/wjg.v12.i5.825.
This report describes an extremely rare adult case of an omphalomesenteric cyst resected by laparoscopic-assisted surgery. A 29-years-old Japanese man was referred and admitted to Kyushu University Hospital because of an abdominal mass and an elevated serum CEA (carcinoembryonic antigen) level (21.3 ng/mL) in August 2001. Abdominal CT and US demonstrated a cystic mass with septum and calcification. Laparoscopy showed a large mass to be attached to his abdominal wall, measuring 110 mm x 70 mm x 50 mm and filled with mucus. The mass was resected by laparoscopic-assisted surgery. The histological findings of its wall showed fibromuscular tissue, adipose tissue, calcification, and an intestinal structure. It was finally diagnosed to be an omphalomesenteric cyst.
本报告描述了一例极为罕见的成人病例，该患者通过腹腔镜辅助手术切除了脐肠系膜囊肿。一名29岁的日本男性于2001年8月因腹部肿块和血清癌胚抗原（CEA）水平升高（21.3 ng/mL）被转诊至九州大学医院并入院。腹部CT和超声检查显示一个伴有隔膜和钙化的囊性肿块。腹腔镜检查显示一个大肿块附着于腹壁，大小为110 mm×70 mm×50 mm，内充满黏液。通过腹腔镜辅助手术切除了该肿块。其壁的组织学检查结果显示为纤维肌肉组织、脂肪组织、钙化及肠结构。最终诊断为脐肠系膜囊肿。
