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[肠系膜囊性淋巴管瘤导致的部分空肠扭转]

[Partial jejunal volvulus due to a mesenteric cystic lymphangioma].

作者信息

Olivera S, De Escalante B, Morandeira A, Val-Carreres P, Castillo M C, Castiella T

机构信息

Hospital de Denia, Alicante, Spain.

出版信息

An Sist Sanit Navar. 2010 Sep-Dec;33(3):323-6.

Abstract

Mesenteric cysts are unusual benign tumours that include lymphangioma. Their clinical presentation is variable and acute symptoms can be produced due to complications. This tumour appears especially in childhood, and its prognosis after surgical removal is excellent. We present the case of a 15 year old female patient with symptoms of postprandial abdominal pain and palpation of smooth mass in hypogastrium. Radiological studies showed a big polilobular mass of cystic substance that included a portion of jejune with incomplete volvulus. The treatment was the removal of the cyst and a jejunal portion and the pathological diagnosis was mesenteric cyst lymphangioma. The patient is asymptomatic more than three years after the intervention.

摘要

肠系膜囊肿是一种罕见的良性肿瘤,包括淋巴管瘤。其临床表现多样,并发症可导致急性症状。这种肿瘤尤其多见于儿童期,手术切除后的预后良好。我们报告一例15岁女性患者,有餐后腹痛症状,下腹部可触及光滑肿块。影像学检查显示一个大的多囊性肿块,其中包含一段伴有不完全扭转的空肠。治疗方法是切除囊肿和一段空肠,病理诊断为肠系膜囊肿淋巴管瘤。干预三年多后,患者无症状。

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