肠系膜囊肿性淋巴管瘤：一例报告
Cystic mesenteric lymphangioma: A case report.
作者信息
Thiam Ousmane, Faye Papa Mamadou, Niasse Abdou, Seye Yacine, Gueye Mohamadou Lamine, Sarr Ibrahima Sitor, Toure Alpha Oumar, Seck Mamadou, Cisse Mamadou, Dieng Madieng
机构信息
General Surgery Department at Dalal Jamm Hospital, Dakar, Senegal.
General Surgery Department at Aristide Le Dantec Hospital, Dakar, Senegal.
出版信息
Int J Surg Case Rep. 2019;61:318-321. doi: 10.1016/j.ijscr.2019.07.051. Epub 2019 Jul 25.
INTRODUCTION
Cystic lymphangioma is a benign malformative tumor. The abdominal localization is rare. The diagnosis is not easy in preoperative period. The surgery is the choice in the abdominal and symptomatic localization.
PRESENTATION OF CASE
We report a 26 years old women. She consulted with left hypochondrial pain. The exam found left hyphochondrial swelling with 10 cm of diameter. The biologic screeming was normal. The ultrasound showed a multiloculated cyst which measured 130*80 mm. the CT scan showed a mesenteri cyst mass measured 15 cm. A fine needle aspiration cytology guided by abdominal ultrasound was realized and the cytology doesn't show malignant cell. A median laparotomy found a mesenteric cystic mass measured 15 cm of diameter. A resection was realized. The histologic exam membranous fibrosis cyst limited by an endothelium.
CONCLUSION
Mesenteric localization of cyst lymphagioma is rare. The surgery is safe and efficiency for the treatment.
引言
囊性淋巴管瘤是一种良性畸形肿瘤。腹部定位较为罕见。术前诊断并不容易。对于腹部有症状的定位，手术是首选治疗方法。
病例介绍
我们报告一名26岁女性。她因左季肋部疼痛前来就诊。检查发现左季肋部有直径10厘米的肿胀。生物学检查结果正常。超声显示一个多房性囊肿，大小为130×80毫米。CT扫描显示一个肠系膜囊肿肿块，大小为15厘米。在腹部超声引导下进行了细针穿刺细胞学检查，细胞学检查未发现恶性细胞。经正中剖腹探查发现一个直径15厘米的肠系膜囊性肿块。进行了切除手术。组织学检查显示为膜性纤维囊肿，由内皮细胞包绕。
结论
肠系膜囊性淋巴管瘤定位罕见。手术治疗安全且有效。
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