Parker Dominic Robert, Kiely Philip, Smith Richard
Trauma and Surgical Oncology Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia
Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
BMJ Case Rep. 2020 Mar 17;13(3):e233714. doi: 10.1136/bcr-2019-233714.
Mesenteric lymphangioma is a benign cystic tumour of the lymphatic vessels that occurs rarely in adults. Due to the infrequency of cases and the insidious presentation, these tumours can be diagnosed late and become massive. Resection of mesenteric lymphangioma in its entirety is the recommended management in order to prevent recurrence. This case report describes the finding of a massive mesenteric lymphangioma (dimensions 420×470×100 mm) in a young man, the investigations leading to diagnosis, and the subsequent surgical management. The substantial size of this tumour produced considerable challenges for the surgical team, including involvement of adjacent small bowel and mesenteric vasculature. Preoperative diagnosis and assessment of the anatomy was pivotal in achieving a complete resection and a good patient outcome.
肠系膜淋巴管瘤是一种淋巴管的良性囊性肿瘤，在成人中很少见。由于病例罕见且表现隐匿，这些肿瘤可能诊断较晚且体积巨大。为防止复发，建议完整切除肠系膜淋巴管瘤。本病例报告描述了一名年轻男性中发现的巨大肠系膜淋巴管瘤（尺寸为420×470×100毫米）、导致诊断的检查以及随后的手术治疗。该肿瘤的巨大尺寸给手术团队带来了相当大的挑战，包括累及相邻的小肠和肠系膜血管。术前诊断和解剖结构评估对于实现完整切除和良好的患者预后至关重要。
