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[肠系膜病理性积液,肠系膜囊肿的鉴别诊断——病例报告]

[Pathologic fluid collection of mesentery, differential diagnosis of mesenteric cysts - case report].

作者信息

Chovanec Z, Hnízdil L, Capov I

出版信息

Rozhl Chir. 2014 Mar;93(3):147-50.

Abstract

Mesenteric cyst is a pathologic fluid collection that very rarely occurs anywhere in the mesentery of the gastrointestinal tract from the duodenum to the rectum. The etiology of mesenteric cysts has not yet been completely understood. It ranges from tumorous, infectious, lymphatic and embryological to post-traumatic or post-operative origin. Symptoms of the illness are usually non-specific, caused mainly by intestinal obstruction. Diagnosis is often accidental. Therapy is exclusively surgical. In the following text, the authors present a case report of a 50-year-old patient operated on due to a mesenteric cyst. The patient had undergone bilateral nephrectomy for polycystic kidney disease and was followed up for polycystic liver disease. CT accidentally revealed a mesenteric cyst around 14 cm in size in the right meso-hypogastrium. It was necessary to perform its histological verification before the planned renal transplantation.

摘要

肠系膜囊肿是一种病理性液体积聚,在从十二指肠到直肠的胃肠道系膜的任何部位都极少发生。肠系膜囊肿的病因尚未完全明确。其病因范围从肿瘤性、感染性、淋巴性和胚胎性到创伤后或术后起源。该病症状通常不具特异性,主要由肠梗阻引起。诊断往往是偶然的。治疗完全依靠手术。在下文,作者呈现了一例因肠系膜囊肿接受手术的50岁患者的病例报告。该患者因多囊肾病接受了双侧肾切除术,并因多囊肝病接受随访。CT偶然发现右下腹系膜区有一个大小约14厘米的肠系膜囊肿。在计划进行肾移植之前,有必要对其进行组织学验证。

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