Guzmán Liliana, Oppenheimer Eittel, Lugo-Vicente Humberto, Correa Maria
Department of Pediatrics and Residency Program, San Juan City Hospital, San Juan, Puerto Rico.
Bol Asoc Med P R. 2013;105(1):42-7.
Chylous jejunal cysts are extremely rare entities and if not diagnosed promptly may lead to severe complications like bowel obstruction, loss of small bowel and even death. We present the case of a 4 year-old-male referred to our institution with severe abdominal pain, constipation, abdominal distention and radiological findings of large amount of fluid in the lower abdomen with associated bowel obstruction. Operative findings were that of large chylous jejunal cyst causing segmental volvulus. Resection of the involved jejunal segment and cyst along with bowel detorsion was undertaken. Literature review on the subject follows.
乳糜性空肠囊肿极为罕见,若不及时诊断,可能导致肠梗阻、小肠坏死甚至死亡等严重并发症。我们报告一例4岁男性患儿,因严重腹痛、便秘、腹胀入院,影像学检查发现下腹部大量积液并伴有肠梗阻。手术发现为巨大乳糜性空肠囊肿导致节段性肠扭转。遂行受累空肠段及囊肿切除并解除肠扭转。以下是关于该主题的文献综述。