Ishibashi Yusuke, Tsujimoto Hironori, Kouzu Keita, Horiguchi Hiroyuki, Nomura Shinsuke, Ito Nozomi, Kanematsu Kyohei, Yamazaki Kenji, Hiraki Shuichi, Aosasa Suefumi, Noro Takuji, Yamamoto Junji, Hase Kazuo
Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan.
Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan.
Int J Surg Case Rep. 2015;11:8-10. doi: 10.1016/j.ijscr.2015.04.016. Epub 2015 Apr 11.
Retroperitoneal cystic lymphangiomas are rare. We report a case of retroperitoneal huge cystic lymphangioma that was successfully aspirated the cyst's contents with double balloon catheter and excised laparoscopically.
A 34-year-old man was admitted to our hospital with low-grade fever and abdominal pain that had lasted for 1 week. Abdominal computed tomography and magnetic resonance imaging showed a fluid-filled multilocular mass measuring 13.5cm in diameter around the tail of the pancreas, which was diagnosed as a retroperitoneal cystic lymphangioma. We successfully excised the tumor by laparoscopic distal pancreatosplenectomy. We punctured and aspirated the tumor with a double-balloon catheter to decrease the tumor's size without spilling the tumor content. Cytology showed no malignant cells, and histopathological examination confirmed cystic lymphangioma. No recurrence was noted on radiographic imaging 10 months postoperatively.
Laparoscopic treatment for retroperitoneal huge cystic lymphangioma is feasible, and the double balloon catheter is useful for reducing the tumor volume.
腹膜后囊性淋巴管瘤较为罕见。我们报告一例腹膜后巨大囊性淋巴管瘤，通过双气囊导管成功抽吸囊肿内容物并经腹腔镜切除。
一名34岁男性因低热和腹痛持续1周入院。腹部计算机断层扫描和磁共振成像显示，胰腺尾部周围有一个直径13.5厘米的多房性液性肿块，诊断为腹膜后囊性淋巴管瘤。我们通过腹腔镜远端胰脾切除术成功切除肿瘤。我们用双气囊导管穿刺并抽吸肿瘤以减小肿瘤大小，同时避免肿瘤内容物溢出。细胞学检查未发现恶性细胞，组织病理学检查证实为囊性淋巴管瘤。术后10个月影像学检查未发现复发。
腹腔镜治疗腹膜后巨大囊性淋巴管瘤是可行的，双气囊导管有助于减小肿瘤体积。
