Ballinas-Oseguera G A, Romero-Hernández T, Ramírez-Aceves R, Martínez-Ordaz J L, Escobar-Acosta E
Servicio de Cirugía, UMAE, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México DF.
Rev Gastroenterol Mex. 2011 Jan-Mar;76(1):68-72.
Retroperitoneal cystic lymphangyoma is a benign lesion, extremely rare in adults. In most cases is asymptomatic. The objective of this report is to present the case of an 82 year old woman who presented abdominal pain, food intolerance and a palpable abdominal mass located toward the upper right quadrant. The abdominal CT scan showed a cystic lesion below the liver which extended to the retroperitoneum. The patient underwent laparotomy achieving complete resection of the lesion and she was discharged soon after. After six months of follow up, she has not presented recurrence. The presentation of this lesion is very rare, generally as a consequence of congenital malformations of the lymphatic vessels. These lesions must be considered as part of the differential diagnosis of the cystic type tumors. The ultrasound and abdominal CT scan are useful for diagnosis. Surgical resection is the only therapeutic option.
腹膜后囊性淋巴管瘤是一种良性病变，在成年人中极为罕见。大多数情况下无症状。本报告的目的是介绍一名82岁女性的病例，该患者出现腹痛、食物不耐受，右上腹可触及腹部肿块。腹部CT扫描显示肝脏下方有一个囊性病变，延伸至腹膜后。患者接受了剖腹手术，病变得以完全切除，术后不久出院。经过六个月的随访，她未出现复发。这种病变的表现非常罕见，通常是淋巴管先天性畸形的结果。这些病变必须被视为囊性肿瘤鉴别诊断的一部分。超声和腹部CT扫描有助于诊断。手术切除是唯一的治疗选择。
