Kim Soo-Hong, Yoon Kyung-Chul, Lee Woohyung, Kim Hyun-Young, Jung Sung-Eun
Department of Pediatric Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
Department of Pediatric Surgery, Seoul National University Children's Hospital, Seoul, Korea.
Ann Surg Treat Res. 2015 Dec;89(6):330-3. doi: 10.4174/astr.2015.89.6.330. Epub 2015 Nov 27.
Mesenteric lymphangiomas, which involve near total mesentery, are extremely rare. A mesenteric lymphangioma should be treated through excision because they can cause invasion of vital structures, bleeding, or infection. After excision of a huge mesenteric lymphangioma, internal herniation may occur through a large mesenteric defect leading to intestinal volvulus, obstruction, and other life-threatening circumstances. We report a case in which a biologic collagen implant (Permacol) was used for mesenteric defect repair after excision of a huge mesenteric lymphangioma. The implant did not cause any symptoms or complications during follow-up for 4 years. When encountering large defects of mesentery, closure with implant can be a feasible choice, and Permacol could be a possible implant for closing the defect.
累及几乎整个肠系膜的肠系膜淋巴管瘤极为罕见。肠系膜淋巴管瘤应通过切除进行治疗，因为它们可导致重要结构受侵、出血或感染。巨大肠系膜淋巴管瘤切除术后，可能会通过大的肠系膜缺损发生内疝，导致肠扭转、肠梗阻及其他危及生命的情况。我们报告一例在巨大肠系膜淋巴管瘤切除术后使用生物胶原蛋白植入物（Permacol）修复肠系膜缺损的病例。该植入物在4年的随访期间未引起任何症状或并发症。当遇到肠系膜大的缺损时，使用植入物进行修补可能是一种可行的选择，而Permacol可能是用于闭合缺损的一种植入物。
