Pratap Akshay, Tiwari Awadhesh, Sah Birendra Prasad, Sinha Arvind Kumar, Shakya Vikal Chandra, Niels Koopmans G
Department of Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Urol Int. 2008;80(3):325-7; discussion 328. doi: 10.1159/000127351. Epub 2008 May 14.
A 2-year-old male is described who presented with fever, fixed flexion deformity of the right hip and a tender mass in the right iliac fossa. A clinical diagnosis of psoas abscess was made. Abdominal ultrasound was suggestive of an echogenic retroperitoneal cyst but could not accurately determine the nature of the cyst. A contrast CT scan showed a retroperitoneal cyst. At laparotomy, a large retroperitoneal cyst containing turbid fluid was found and was excised completely. Histopathological examination was suggestive of cystic lymphangioma. Clinical presentation of retroperitoneal lymphangioma may be variable and misleading, therefore complex imaging studies are necessary in the evaluation of this condition.
本文描述了一名2岁男性患儿，其表现为发热、右髋关节固定屈曲畸形以及右髂窝处有压痛性肿块。临床诊断为腰大肌脓肿。腹部超声提示为一个高回声的腹膜后囊肿，但无法准确确定囊肿的性质。增强CT扫描显示为腹膜后囊肿。剖腹手术时，发现一个含有浑浊液体的巨大腹膜后囊肿，并将其完整切除。组织病理学检查提示为囊性淋巴管瘤。腹膜后淋巴管瘤的临床表现可能多样且具有误导性，因此在评估这种疾病时，复杂的影像学检查是必要的。
