Bruneton J N, Benattar E, Drouillard J, Balu-Maestro C, Normand F
Service de Radiologie, Centre A. Lacassagne, Nice.
J Radiol. 1987 Nov;68(11):687-91.
The authors describe five cases of mesenteric cysts evaluated by ultrasonography and computed tomography: 3 cases of cystic lymphangioma, 1 vestigial serous cyst, 1 dermoid cyst. Ultrasonography is useful for analyzing the contents of these lesions, and must be utilized to search for possible pelvic anomalies, allowing diagnosis of pendunculated ovarian cysts for example. CT offers better sensitivity for evaluating the effect of such cysts on neighboring viscera and particularly on the intestine. CT is also better for identification of the fatty components indicative of dermoid or chylous cysts. These rare tumors are almost always benign, and a combined modality imaging approach based on ultrasound and CT suffices for diagnosis.
作者描述了5例经超声和计算机断层扫描评估的肠系膜囊肿病例:3例为囊性淋巴管瘤,1例为残留浆液性囊肿,1例为皮样囊肿。超声有助于分析这些病变的内容物,且必须用于寻找可能的盆腔异常情况,例如有助于诊断带蒂卵巢囊肿。CT在评估此类囊肿对邻近脏器尤其是肠道的影响方面具有更高的敏感性。CT在识别提示皮样囊肿或乳糜囊肿的脂肪成分方面也更具优势。这些罕见肿瘤几乎均为良性,基于超声和CT的联合影像学检查方法足以进行诊断。