Hitzerd Emilie, van Hamont Dennis, Pijnenborg Johanna M A
Department of Obstetrics and Gynaecology, Amphia Hospital, Breda, The Netherlands.
Department of Obstetrics & Gynaecology, TweeSteden Hospital, Tilburg, The Netherlands.
BMJ Case Rep. 2016 Feb 1;2016:bcr2015213727. doi: 10.1136/bcr-2015-213727.
Pelvic cystic masses are frequently observed in women. Most lesions are benign and of ovarian origin. However, non-ovarian lesions can be easily confused with cystic ovarian masses on imaging, which hampers diagnostic and therapeutic management. In this report, a rare case of mesenteric lymphangioma mimicking an ovarian cystic mass, discovered as an incidental finding on orthopaedic MRI in an adult female, is presented. The report highlights the sometimes difficult diagnostic process of pelvic cystic masses, due to an extensive differential diagnosis and the fact that imaging is often inconclusive. Even though most cystic masses are of ovarian origin, non-ovarian causes can mimic ovarian masses and should be considered as differential diagnoses. Surgical exploration may be necessary to exclude malignant causes.
盆腔囊性肿物在女性中较为常见。多数病变为良性且起源于卵巢。然而，非卵巢病变在影像学上容易与卵巢囊性肿物混淆，这给诊断和治疗带来了困难。本报告介绍了一例罕见的肠系膜淋巴管瘤，在一名成年女性的骨科MRI检查中偶然发现，其表现类似卵巢囊性肿物。该报告强调了盆腔囊性肿物有时诊断过程较为困难，这是由于鉴别诊断范围广泛且影像学检查结果往往不明确。尽管大多数囊性肿物起源于卵巢，但非卵巢原因也可能类似卵巢肿物，应作为鉴别诊断考虑。可能需要进行手术探查以排除恶性病因。
