Feo Claudio F, Ginesu Giorgio C, Cherchi Giuseppe, Fancellu Alessandro, Cossu M Laura, Porcu Alberto
Unit of General Surgery 2, Department of Clinical and Experimental Medicine, University of Sassari, Viale San Pietro 43, 07100 Sassari, Italy.
Int J Surg Case Rep. 2017;37:33-35. doi: 10.1016/j.ijscr.2017.06.017. Epub 2017 Jun 15.
Cysts of the liver round ligament are rare and they are benign in the majority of cases. Current literature has been reviewed on this subject.
A 22-year-old woman with a history of epigastric pain was admitted at our institution. Computed tomography (CT) of the abdomen showed a 14-mm cystic lesion in the epigastrium. A large cyst of the liver round ligament was successfully removed during exploratory laparoscopy and histopathology revealed a benign mesothelial cyst.
Mesothelial cysts of the liver round ligament are rare entities and we found a total of 5 cases from the literature. Diameter varies from 5 to 14cm. Most patients were asymptomatic or may complain abdominal pain in the upper quadrants. Ultrasonography and CT scan are the most useful diagnostic tools, however differential diagnosis between various abdominal cystic lesions can be difficult. Treatment is usually surgical excision.
Mesothelial cysts of the liver round ligament are extremely rare but should be taken in consideration in the differential diagnosis of intra-abdominal cystic lesions. We stress the importance of exploratory laparoscopy that can allow both diagnosis and radical surgical excision.
肝圆韧带囊肿罕见，多数情况下为良性。现对该主题的现有文献进行了综述。
一名有上腹部疼痛病史的22岁女性入住我院。腹部计算机断层扫描（CT）显示上腹部有一个14毫米的囊性病变。在探索性腹腔镜检查期间成功切除了一个巨大的肝圆韧带囊肿，组织病理学显示为良性间皮囊肿。
肝圆韧带间皮囊肿是罕见的实体，我们从文献中总共发现了5例。直径从5厘米到14厘米不等。大多数患者无症状，或可能主诉上腹部疼痛。超声检查和CT扫描是最有用的诊断工具，然而区分各种腹部囊性病变可能很困难。治疗通常是手术切除。
肝圆韧带间皮囊肿极为罕见，但在腹腔内囊性病变的鉴别诊断中应予以考虑。我们强调探索性腹腔镜检查的重要性，它既能实现诊断又能进行根治性手术切除。
