一例成人肠系膜囊性淋巴管瘤，切除术后导致十二指肠狭窄。
A case of mesenteric cystic lymphangioma in an adult which caused duodenal stenosis after resection.
作者信息
Watanabe Akira, Suzuki Hideki, Kubo Norio, Kobayashi Tsutomu, Araki Kenichiro, Sasaki Shigeru, Shimura Tatsuo, Oyama Tetsunari, Kuwano Hiroyuki
机构信息
Department of General Surgical Science, Gunma University Graduate School of Medicine, 3-39-22 Maebashi, Gunma 371-8511, Japan.
出版信息
Int J Surg Case Rep. 2013;4(2):212-5. doi: 10.1016/j.ijscr.2012.10.023. Epub 2012 Nov 30.
INTRODUCTION
We present a rare case of mesenteric lymphangioma in a middle-aged female.
PRESENTATION OF CASE
A 56-year-old female was admitted to the hospital with upper abdominal pain. Abdominal computed tomography revealed a multicystic mass surrounding the mesentery. We made the decision to resect the mass, suspecting that was a mesenteric lymphangioma based on additional imaging studies. The tumor adhered strongly to parts of the duodenum and the upper jejunum. In order to preserve the jejunum, we dissected its serosa away from the tumor. Approximately 1 week after surgery the patient experienced a constriction of the third portion of the duodenum. Her symptoms were improved with conservative therapy, and she was discharged from the hospital 62 days after surgery.
DISCUSSION
Lymphangioma originating from the mesentery may have cause adhesions due to exfoliated tumor cells; it is necessary to be concerned about postoperative obstruction.
CONCLUSION
The preoperative diagnosis of lymphangioma is based on various imaging modalities.
引言
我们报告一例中年女性肠系膜淋巴管瘤的罕见病例。
病例介绍
一名56岁女性因上腹部疼痛入院。腹部计算机断层扫描显示肠系膜周围有一个多囊性肿块。基于进一步的影像学检查，怀疑是肠系膜淋巴管瘤，我们决定切除该肿块。肿瘤与十二指肠和空肠上段紧密粘连。为了保留空肠，我们将其浆膜从肿瘤上剥离。术后约1周，患者出现十二指肠第三段狭窄。经保守治疗症状改善，术后62天出院。
讨论
起源于肠系膜的淋巴管瘤可能因肿瘤细胞脱落而导致粘连；有必要关注术后梗阻情况。
结论
淋巴管瘤的术前诊断基于多种影像学检查方法。
Zotero 插件