Hureibi Khalid, Sunidar Osama A
Department of General Surgery, Royal Sussex County Hospital, Brighton, East Sussex, UK.
Department of General Surgery, Al-Thawra Modern General and Teaching Hospital, Sanaa, Sanaa, Yemen.
BMJ Case Rep. 2014 Sep 1;2014:bcr2014203560. doi: 10.1136/bcr-2014-203560.
Mesenteric cystic lymphangiomas are benign tumours arising from the mesentery, and have no known aetiology. Patients might be discovered incidentally to have asymptomatic mesenteric cysts, or they can present with symptoms such as pain, nausea and vomiting. A 27-year-old man presented with vague abdominal pain, loss of appetite, postprandial fullness and significant weight loss. There was no lymphadenopathy, and abdominal examination was unremarkable. CT showed a mesenteric mass and a diagnosis of abdominal lymphoma was suggested. There was no evidence of pulmonary tuberculosis on chest X-ray and the purified protein derivative test was negative. On laparotomy, a 5×9×7 cm sessile cyst containing thick white fluid and arising from the ileal mesentery was found and completely removed. Histopathology proved a diagnosis of mesenteric cystic lymphangioma. The patient made uneventful recovery, and was asymptomatic on clinical follow-up after 6 weeks.
肠系膜囊性淋巴管瘤是起源于肠系膜的良性肿瘤,病因不明。患者可能偶然发现无症状的肠系膜囊肿,也可能出现疼痛、恶心和呕吐等症状。一名27岁男性出现腹部隐痛、食欲不振、餐后饱胀及明显体重减轻。无淋巴结肿大,腹部检查无异常。CT显示肠系膜肿块,提示腹部淋巴瘤。胸部X线片无肺结核证据,结核菌素试验阴性。剖腹手术时,发现一个5×9×7 cm的无蒂囊肿,内含浓稠白色液体,起源于回肠系膜,遂将其完整切除。组织病理学证实为肠系膜囊性淋巴管瘤。患者恢复顺利,6周后临床随访无症状。