Airlangga University, Faculty of Medicine, Department of Surgery, Jalan Mayjen. Prof. Dr. Moestopo 6-8 Surabaya, Jawa Timur, Indonesia 60119
Airlangga University, Faculty of Medicine, Department of Surgery, Jalan Mayjen. Prof. Dr. Moestopo 6-8 Surabaya, Jawa Timur, Indonesia 60119.
Med J Malaysia. 2020 May;75(Suppl 1):48-50.
Chylous mesenteric cyst is a very rare case, with some vague clinical findings, and it is hard to establish the diagnosis before surgery. The most common complaints post-surgery are abdominal pain and abdominal distention. We report a case of chylous mesenteric cyst in a 4-year-old boy with chief complaint of a lump in the abdomen. Preoperative abdominal ultrasound study could not identify the origin of the mass, and suspected it as a tuberculous peritonitis. A repeat ultrasound examination revealed a multicystic mass, suspected as lymphangioma. From the exploratory laparotomy, we noted a giant mesenterial cyst (20cm in diameter) containing chylous fluid within the ileal mesentery situated 30cm from the ileocaecal junction and made an effect of diminution of the bowel lumen above it, resection and end to end anastomoses was done. Histopathology examination confirmed it as a giant mesenteric cystic lymphangioma.
乳糜肠系膜囊肿是一种非常罕见的病例，具有一些模糊的临床发现，并且很难在手术前建立诊断。术后最常见的主诉是腹痛和腹胀。我们报告了一例 4 岁男孩的乳糜肠系膜囊肿病例，主要症状为腹部肿块。术前腹部超声研究无法确定肿块的起源，并怀疑其为结核性腹膜炎。重复超声检查显示为多囊性肿块，怀疑为淋巴管瘤。剖腹探查时，我们发现一个巨大的肠系膜囊肿（直径 20 厘米），位于回肠肠系膜内，距回盲交界处 30 厘米处，含有乳糜液，使上方肠腔缩小，进行了切除和端端吻合术。组织病理学检查证实为巨大肠系膜囊状淋巴管瘤。
