Nazarewski Lukasz, Patkowski Waldemar, Pacho Ryszard, Marczewska Maja, Krawczyk Marek
Pol Przegl Chir. 2013 Jan;85(1):39-43. doi: 10.2478/pjs-2013-0007.
Lymphangiomas are rare benign lesions of the lymphatic vessels that are most commonly diagnosed in childhood. Intraperitoneal localization is unusual as, typically, they are located in the head and neck areas. In general, abdominal lymphangiomas seem to be asymptomatic, however, patients may occasionally suffer from acute abdominal symptoms, due to intestinal obstruction or peritonitis. The study presented a case of a 41-year-old female patient, clinically asymptomatic, who was accidentally diagnosed with a multiseptated cystic lesion of the right liver lobe surrounding the gall-bladder fossa in a routine ultrasound examination. Further examinations including computed tomography and magnetic resonance (MR) aroused suspicion of a polycystic lesion of the gall-bladder and hepatoduodenal ligament. The cystic lesion of the gall-bladder and hepatoduodenal ligament filled with lymphatic fluid was diagnosed intraoperatively. Simultaneous cholecystectomy and radical resection of the cystic lesion was undertaken. The histopathological examination revealed the presence of a lymphangioma. Additionally, the authors of the study reviewed literature data concerning gall-bladder lymphangiomas.
淋巴管瘤是淋巴管的罕见良性病变，最常见于儿童期诊断。腹腔内定位并不常见，因为它们通常位于头颈部区域。一般来说，腹部淋巴管瘤似乎无症状，然而，患者偶尔可能因肠梗阻或腹膜炎而出现急腹症症状。该研究报告了一例41岁女性患者，临床无症状，在常规超声检查中意外诊断出右肝叶围绕胆囊窝的多房囊性病变。包括计算机断层扫描和磁共振成像（MR）在内的进一步检查引发了对胆囊和肝十二指肠韧带多囊性病变的怀疑。术中诊断出胆囊和肝十二指肠韧带的囊性病变充满淋巴液。同时进行了胆囊切除术和囊性病变的根治性切除术。组织病理学检查显示存在淋巴管瘤。此外，该研究的作者回顾了有关胆囊淋巴管瘤的文献数据。
