Ioannidis O, Cheva A, Kakoutis E, Chatzichristou A, Chatzopoulos S, Konstantara A, Papadimitriou N, Paraskevas G, Makrantonakis A
First Surgical Department, General Regional Hospital George Papanikolaou, Thessaloniki, Greece.
G Chir. 2011 Mar;32(3):128-31.
Mesenteric cysts are rare cystic malformations of the mesentery. They are usually located at the iliac mesentery. Clinically most mesenteric cysts are asymptomatic, but sometimes they present with non-specific abdominal symptoms. Diagnosis can be aided using US, CT and MRI but careful interpretation of the images and high index of suspicion of this rare condition is essential for the correct diagnosis, which cannot always be preoperatively established. The therapeutic method of choice is complete surgical excision of the cyst which minimizes the possibility of recurrence. Histopathologically they are classified in six group. We present a case of a mesothelial mesenteric cyst in patient with colon cancer. The cyst was misdiagnosed as urinary bladder diverticulum in the preoperative CT scan.
肠系膜囊肿是肠系膜罕见的囊性畸形。它们通常位于髂肠系膜。临床上大多数肠系膜囊肿无症状,但有时会出现非特异性腹部症状。超声、CT和MRI有助于诊断,但对图像的仔细解读以及对这种罕见病症的高度怀疑指数对于正确诊断至关重要,而正确诊断并非总能在术前确定。首选的治疗方法是完整手术切除囊肿,以尽量减少复发的可能性。组织病理学上它们分为六类。我们报告一例结肠癌患者的间皮性肠系膜囊肿病例。该囊肿在术前CT扫描中被误诊为膀胱憩室。