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多西环素硬化疗法治疗儿童创伤后腹股沟淋巴管瘤

Doxycycline sclerotherapy for post-traumatic inguinal lymphocele in a child.

作者信息

Harrington Amanda W, Tackett John J, Graeber Brendon L, Cowles Robert A

机构信息

Department of Surgery, Yale-New Haven Hospital, New Haven, Connecticut, USA.

Department of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.

出版信息

BMJ Case Rep. 2018 Jan 23;2018:bcr-2017-222795. doi: 10.1136/bcr-2017-222795.

Abstract

Lymphoceles are abnormal collections of lymphatic fluid caused by a disruption in the lymphatic channels and leakage of lymph. This most commonly occurs after surgical procedures, but occasionally lymphoceles may be the result of trauma, more commonly penetrating trauma. Lymphoceles resulting from blunt trauma are rare in both adults and children. In the adult population, there are few published case reports, and management principles vary. To date, there are no reports of traumatic lymphoceles in the paediatric population, and therefore there is no precedent for treatment. Here, we report the case of a young boy who developed an inguinal lymphocele from a bicycle handle bar injury which was successfully treated with doxycycline sclerotherapy.

摘要

淋巴管瘤是由于淋巴管通道中断和淋巴液渗漏而形成的异常淋巴液聚集。这最常见于外科手术后,但偶尔淋巴管瘤也可能是创伤的结果,更常见的是穿透性创伤。钝性创伤导致的淋巴管瘤在成人和儿童中都很罕见。在成人中,发表的病例报告很少,治疗原则也各不相同。迄今为止,儿科人群中尚无创伤性淋巴管瘤的报告,因此也没有治疗先例。在此,我们报告一例年轻男孩因自行车车把损伤导致腹股沟淋巴管瘤,经强力霉素硬化治疗成功治愈的病例。

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本文引用的文献

1
Treatment of Post-transplant Lymphocele in Children.儿童移植后淋巴囊肿的治疗
Urology. 2017 May;103:218-223. doi: 10.1016/j.urology.2016.12.039. Epub 2017 Jan 26.
2
Percutaneous Treatment of Lymphatic Malformations.淋巴管畸形的经皮治疗
Tech Vasc Interv Radiol. 2016 Dec;19(4):305-311. doi: 10.1053/j.tvir.2016.10.001. Epub 2016 Oct 6.
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Lymphocele after pediatric kidney transplantation: incidence and risk factors.
Pediatr Transplant. 2014 Nov;18(7):720-5. doi: 10.1111/petr.12341. Epub 2014 Aug 27.
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Lymphocoele of the thigh following blunt war injury.钝性战伤后大腿淋巴囊肿
Injury. 1995 Dec;26(10):693-4. doi: 10.1016/0020-1383(95)00145-x.

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