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引发大量乳糜痰的胸段海绵状淋巴管瘤：一例报告

Thoracic Cavernous Lymphangioma Provoking Massive Chyloptysis: A Case Report.

作者信息

Ferguson Robert, Hodges Jeffrey, Harness-Brumley Cayce, Girod Carlos, Bartolome Sonja, DiMaio J Michael

机构信息

University of Texas Southwestern, Dallas, TX, USA.

出版信息

J Investig Med High Impact Case Rep. 2013 Sep 11;1(3):2324709613503315. doi: 10.1177/2324709613503315. eCollection 2013 Jul-Sep.

DOI:10.1177/2324709613503315
PMID:26425583
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4586815/
Abstract

Chyloptysis is a relatively rare embodiment of disease that encompasses a lengthy differential and provides many diagnostic and therapeutic challenges. Presented here is the case of a young woman with massive chyloptysis due to a thoracic cavernous lymphangioma arising in the peripartum period. The severity of her condition mandated the use of cardiopulmonary bypass to resect her lymphangioma. We believe that the extent of her symptoms, etiology of disease, and surgical management represent a unique scenario in the literature.

摘要

乳糜痰是一种相对罕见的疾病表现，其鉴别诊断范围广泛，带来了诸多诊断和治疗挑战。本文介绍了一名年轻女性的病例，她在围产期因胸段海绵状淋巴管瘤出现大量乳糜痰。她病情的严重程度要求使用体外循环来切除她的淋巴管瘤。我们认为她的症状程度、疾病病因和手术治疗在文献中代表了一种独特的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/6fd0ee557816/10.1177_2324709613503315-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/16abc8d363c5/10.1177_2324709613503315-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/157b0f7aaa4b/10.1177_2324709613503315-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/6e6b2fafcde7/10.1177_2324709613503315-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/cf33111b9f6b/10.1177_2324709613503315-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/284a48dca928/10.1177_2324709613503315-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/9cbd6b4a63dd/10.1177_2324709613503315-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/c0573f025eb1/10.1177_2324709613503315-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/6fd0ee557816/10.1177_2324709613503315-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/16abc8d363c5/10.1177_2324709613503315-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/157b0f7aaa4b/10.1177_2324709613503315-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/6e6b2fafcde7/10.1177_2324709613503315-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/cf33111b9f6b/10.1177_2324709613503315-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/284a48dca928/10.1177_2324709613503315-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/9cbd6b4a63dd/10.1177_2324709613503315-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/c0573f025eb1/10.1177_2324709613503315-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a5/4586815/6fd0ee557816/10.1177_2324709613503315-fig8.jpg

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Thoracic Cavernous Lymphangioma Provoking Massive Chyloptysis: A Case Report.引发大量乳糜痰的胸段海绵状淋巴管瘤：一例报告
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BMC Pulm Med. 2025 Apr 28;25(1):202. doi: 10.1186/s12890-025-03664-3.
2
Chyloptysis with chylopericardium, a rare case and mini-review.乳糜性胸腔积气伴乳糜性心包积液，罕见病例并文献复习。
BMC Pulm Med. 2018 Jan 29;18(1):21. doi: 10.1186/s12890-018-0583-y.

本文引用的文献

1
Mediastinal lymphangioma: Mayo Clinic experience of 25 cases.纵隔淋巴管瘤：梅奥诊所25例病例经验
Mayo Clin Proc. 2006 Sep;81(9):1197-203. doi: 10.4065/81.9.1197.
2
Axillary cavernous lymphangioma in pregnancy and puerperium.妊娠和产褥期腋窝海绵状淋巴管瘤
Gynecol Obstet Invest. 2005;60(2):108-11. doi: 10.1159/000085584. Epub 2005 May 2.
3
Chyloptysis in adults: presentation, recognition, and differential diagnosis.成人乳糜痰：临床表现、识别与鉴别诊断
Chest. 2004 Jan;125(1):336-40. doi: 10.1378/chest.125.1.336.
4
Cystic lymphangioma of the heart mimicking a mediastinal tumor.酷似纵隔肿瘤的心脏囊性淋巴管瘤。
Eur J Cardiothorac Surg. 2002 Sep;22(3):476-8. doi: 10.1016/s1010-7940(02)00353-6.
5
Five cases of the lymphangioma of the mediastinum in adult.5例成人纵隔淋巴管瘤。
Ann Thorac Cardiovasc Surg. 2001 Apr;7(2):103-5.
6
Thoracic lymphangioma in adults: CT and MR imaging features.成人胸段淋巴管瘤：CT与MR成像特征
AJR Am J Roentgenol. 1994 Feb;162(2):283-9. doi: 10.2214/ajr.162.2.8310910.