Lagoudianakis Emmanuel-E, Michalopoulos Nikolaos, Markogiannakis Haridimos, Papadima Artemisia, Filis Konstantinos, Kekis Panagiotis, Katergiannakis Vaggelogiannis, Manouras Andreas
Department of Propaedeutic Surgery, Hippocrateion Hospital, Athens Medical School, University of Athens, Athens 11527, Greece.
World J Gastroenterol. 2008 May 28;14(20):3266-8. doi: 10.3748/wjg.14.3266.
Cysts of the liver ligaments are extremely rare and cysts of the ligamentum teres of the liver have been sporadically reported in the literature during the last century. The present report describes a case of a symptomatic patient with a cyst of the ligamentum teres of the liver. The patient presented with right upper quadrant pain and indigestion during the last 2 years. Ultrasound and computed tomography scans revealed a water-density mass attached to the anterior abdominal wall, but definite diagnosis could not be reached. The cyst was completely excised during laparotomy. Cysts of the ligamentum teres of the liver, although infrequent, may produce clinical symptoms and require excision. Ultrasound and computed tomography scan preoperatively cannot rule out malignancy, thus exploratory laparotomy and total resection of these lesions are necessary.
肝韧带囊肿极为罕见，上个世纪文献中曾零星报道过肝圆韧带囊肿。本报告描述了一例有症状的肝圆韧带囊肿患者。该患者在过去两年中出现右上腹疼痛和消化不良症状。超声和计算机断层扫描显示一个附着于前腹壁的水样密度肿块，但无法明确诊断。在剖腹手术中完整切除了囊肿。肝圆韧带囊肿虽然少见，但可能产生临床症状，需要切除。术前超声和计算机断层扫描不能排除恶性肿瘤，因此有必要进行剖腹探查并完整切除这些病变。
