Shariati Farnaz, Verter Elizabeth, Chang Wendy, Huang Li, Joshi Virendra
Department of Internal Medicine, Ochsner Health System, New Orleans, LA.
The University of Queensland-Ochsner School of Medicine, New Orleans, LA.
ACG Case Rep J. 2017 May 24;4:e71. doi: 10.14309/crj.2017.71. eCollection 2017.
Unicentric Castleman disease is a rare condition of lymphoid hyperplasia, of which only 15% of cases occur in the abdomen. We report a 66-year-old man who presented with complaints of abdominal pain. Computed tomography scans revealed nephrolithiasis and a homogeneous calcified mass between the pancreas and stomach and several para-pancreatic nodes. Direct visualization during exploratory laparotomy revealed a mass on the lesser curvature of the stomach. Pyloromyotomy and mass resection were performed. Biopsy showed reactive lymphoid hyperplasia consistent with the hyaline vascular variant of Castleman disease.
单中心Castleman病是一种罕见的淋巴组织增生性疾病，其中仅15%的病例发生于腹部。我们报告一名66岁男性，主诉腹痛。计算机断层扫描显示有肾结石，胰腺和胃之间有一个均匀的钙化肿块以及几个胰腺旁淋巴结。剖腹探查术中直接观察发现胃小弯处有一个肿块。进行了幽门肌切开术和肿块切除术。活检显示为反应性淋巴组织增生，与Castleman病的透明血管型相符。
