Batool Tayyaba, Ahmed Soofia, Akhtar Jamshed
Department of Pediatric Surgery, National Institute of Child Health Karachi, Pakistan.
APSP J Case Rep. 2010 Jan;1(1):7. doi: 10.21699/ajcr.v1i1.7. Epub 2010 Aug 14.
Mesenteric cysts are not uncommon in pediatric age group but giant lymphatic cysts of mesentery are reported infrequently. This is a report of six years old female who had vague abdominal pain with distension for two years. Investigations revealed a large cystic mass in abdomen. On exploration a giant lymphatic cyst in the mesentery of transverse colon found. More than 1500 ml of milky fluid was drained. The cyst was unilocular and appeared to be the collection of lymph (chyle) between two leaves of the mesentery of transverse colon. It is postulated that trauma to or malformation of lymphatics at the root of mesentery might have lead to this pathology.
肠系膜囊肿在儿童年龄组并不少见,但肠系膜巨大淋巴管囊肿的报道较少。本文报告一名6岁女性,腹痛伴腹胀2年。检查发现腹部有一巨大囊性肿块。手术探查发现横结肠系膜有一个巨大淋巴管囊肿。引流超过1500毫升乳糜样液体。囊肿为单房性,似乎是横结肠系膜两层之间淋巴(乳糜)的积聚。据推测,肠系膜根部淋巴管的创伤或畸形可能导致了这种病变。