Oukhouya Mohamed Amine
Centre Hospitalier Universitaire Hassan II, University Sidi Mohamed Ben Abdellah, Department of Pediatric Surgery, Fès, Morocco.
Pan Afr Med J. 2018 Nov 19;31:191. doi: 10.11604/pamj.2018.31.191.16709. eCollection 2018.
We here report the case of a 1-year old infant admitted to Hospital with left inguinoscrotal swelling evolving over the last 4 months, gradually increasing in volume and becoming painful. Clinical examination showed conscious, afebrile patient with stable hemodynamic and respiratory status but with left, soft, inguinoscrotal, transilluminable swelling painful to palpation. Inguinal doppler echocardiogram objectified 30 mm multiloculated mass. Abdominopelvic CT scan showed cystic lymphangioma: (A) shows the clinical image of the swelling; (B) shows the abdominopelvic CT scan image of a cystic lymphangioma; (C) shows the lymphangioma after exploration via the inguinal route which was in close contact with the spermatic cord and reaching the scrotum; resection of the cyst was performed after careful dissection, while preserving the noble elements; (D) shows patient's outcome after 3 months. Anatomo-pathologic study confirmed the diagnosis of cystic lymphangioma. After 6-months' follow-up contralateral swelling developed.
我们在此报告一例1岁婴儿的病例，该婴儿因左侧腹股沟阴囊肿胀入院，这种肿胀在过去4个月中逐渐发展，体积逐渐增大并伴有疼痛。临床检查显示，患儿意识清醒，无发热，血流动力学和呼吸状态稳定，但左侧腹股沟阴囊有柔软、可透光的肿胀，触诊时有疼痛。腹股沟多普勒超声心动图显示有一个30毫米的多房性肿块。腹盆腔CT扫描显示为囊性淋巴管瘤：（A）显示肿胀的临床图像；（B）显示囊性淋巴管瘤的腹盆腔CT扫描图像；（C）显示经腹股沟途径探查后的淋巴管瘤，其与精索紧密相连并延伸至阴囊；在仔细解剖并保留重要结构后，切除了囊肿；（D）显示3个月后患者的情况。解剖病理学研究证实了囊性淋巴管瘤的诊断。6个月随访后，对侧出现了肿胀。
