腹腔镜下结肠淋巴管瘤性囊肿切除术：一例报告
Laparoscopic resection of a lymphangiomatous cyst of the colon: a case report.
作者信息
Hoffmann Jonas, Kirschniak Andreas, Scharf Gregor, von Feilitzsch Maximilian, Königsrainer Alfred, Zdichavsky Marty
机构信息
Department of General, Visceral and Transplant Surgery, University Hospital Tübingen, Hoppe-Seyler-Strasse 3, D-72076 Tübingen, Germany.
出版信息
J Med Case Rep. 2011 Sep 5;5:431. doi: 10.1186/1752-1947-5-431.
INTRODUCTION
Lymphangiomatous cysts are submucosal masses that are rarely found in the gastrointestinal tract and more often in the neck, oral cavity, and skin. These cysts are benign tumors and mostly clinically silent. Symptoms include abdominal pain, diarrhea, and rectal bleeding. Their pathogenesis remains unclear.
CASE PRESENTATION
During a routine ultrasound examination of a Caucasian 25-year-old woman, a structure that raised our suspicions of an ovarian cyst was found. MRI showed a 4.5 cm cystic lesion in the cecal region. Laparoscopic exploration revealed unexpected contact with the ascending colon. The cyst, including its base and of portion of the colon, was resected laparoscopically. The histological examination revealed cystic lymphangioma.
CONCLUSION
Lymphangiomatous cysts of the colon are very rare lesions. Although their pathology is benign, the recommended treatment is resection, which can be performed with minimal invasiveness.
引言
淋巴管瘤性囊肿是一种黏膜下肿物，在胃肠道中很少见，更多见于颈部、口腔和皮肤。这些囊肿是良性肿瘤，大多在临床上无明显症状。症状包括腹痛、腹泻和直肠出血。其发病机制尚不清楚。
病例介绍
在对一名25岁白人女性进行常规超声检查时，发现了一个引起我们怀疑为卵巢囊肿的结构。磁共振成像显示盲肠区域有一个4.5厘米的囊性病变。腹腔镜探查发现与升结肠意外接触。囊肿及其底部和部分结肠经腹腔镜切除。组织学检查显示为囊性淋巴管瘤。
结论
结肠淋巴管瘤性囊肿是非常罕见的病变。尽管其病理为良性，但推荐的治疗方法是切除，可采用微创方式进行。
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