Akwei Solomon, Bhardwaj Neil, Murphy Paul D
Department of Surgery, Queens Medical Centre, Derby Road, Nottingham, NG7 2UH, UK.
Cases J. 2009 Dec 16;2:9328. doi: 10.1186/1757-1626-2-9328.
Benign mesenteric lymphangiomas are rare intra-abdominal cysts which may be asymptomatic or present with a variety of abdominal symptoms including an acute abdomen. We are however not aware of any reports in the literature linking mesenteric lymphangioma to acute pancreatitis. We present the case of a 62-year-old man who was admitted with signs and symptoms of acute pancreatitis and a palpable abdominal mass. Computerised tomography (CT) of his abdomen confirmed the presence of a mesenteric cystic mass. He underwent a laparotomy at which a large thin walled mass filled with a chylous fluid was resected. Histological analysis of this cyst showed it to be a benign mesenteric lymphangioma.
良性肠系膜淋巴管瘤是罕见的腹腔内囊肿,可能无症状,也可能表现为包括急腹症在内的各种腹部症状。然而,我们未在文献中发现任何将肠系膜淋巴管瘤与急性胰腺炎相关联的报道。我们报告一例62岁男性患者,他因急性胰腺炎的体征和症状以及可触及的腹部肿块入院。腹部计算机断层扫描(CT)证实存在肠系膜囊性肿块。他接受了剖腹手术,术中切除了一个充满乳糜液的大薄壁肿块。对该囊肿的组织学分析显示其为良性肠系膜淋巴管瘤。