Kumar Basant, Bhatnagar Ankur, Upadhyaya Vijai Datta, Gangopadhyay Ajay Narayan
Associate Professor, Department of Paediatric Surgery, SGPGIMS, Lucknow, Uttar Pradesh, India.
Associate Professor, Department of Plastic Surgery, SGPGIMS, Lucknow, Uttar Pradesh, India.
J Clin Diagn Res. 2017 Jun;11(6):PD01-PD02. doi: 10.7860/JCDR/2017/22703.9962. Epub 2017 Jun 1.
Cystic lymphangioma of small bowel mesentery is rare with clinical features ranging from an asymptomatic abdominal lump to acute intestinal obstruction. We discuss two cases of lymphangioma of small bowel mesentery who presented to us as acute intestinal obstruction. In the first case exploratory laparotomy revealed a large multicystic lesion arising from small bowel mesentery just distal to the duodenojejunal junction having multiple small cysts filled with milky white fluid. The involved region of the bowel was excised. The second case had a large multicystic lesion involving the mesentery of proximal jejunum, dudenojejunal junction, encasing the entire superior mesenteric vessels. For this patient, debulking was done.
小肠系膜囊性淋巴管瘤罕见,临床特征从无症状腹部肿块到急性肠梗阻不等。我们讨论两例以急性肠梗阻就诊的小肠系膜淋巴管瘤病例。第一例,剖腹探查发现一个大的多囊性病变,起源于十二指肠空肠交界处远端的小肠系膜,有多个充满乳白色液体的小囊肿。切除受累肠段。第二例有一个大的多囊性病变,累及空肠近端系膜、十二指肠空肠交界处,包绕整个肠系膜上血管。对该患者进行了减瘤手术。