Cudia Bianca, D'Orazio Beatrice, Calì Dario, Di Vita Gaetano, Geraci Girolamo
General Surgery Unit - Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, ITA.
Cureus. 2020 Nov 29;12(11):e11766. doi: 10.7759/cureus.11766.
A lymphatic mesenteric cyst (LMC) is a rare clinical entity, of unclear etiopathogenesis, which can arise in the abdominal cavity or retroperitoneum without a clear origin. We describe a case of a 74-year-old male presenting with abdominal pain that was non-specific and non-responsive to medical therapy. Laboratory tests clinical examination were inconclusive while the abdominal computed tomography (CT) scan showed a cystic lesion of the ileal mesentery. We performed an open surgical excision of the lesion with the resolution of clinical symptoms. The lesion resulted to be an LMC at the histological examination. At the five-year CT scan follow-up, we did not record any recurrences. LMCs present without specific symptoms and imaging diagnostic techniques, such as ultrasound (US) or CT scan may define its features, location, or size. The preoperative diagnosis remains difficult, which is why the complete surgical excision is the gold standard treatment, aiming to prevent malignant transformation, complications, and recurrences.
肠系膜淋巴管瘤（LMC）是一种临床罕见的疾病，其病因发病机制尚不明确，可发生于腹腔或腹膜后，起源不明。我们描述了一例74岁男性患者，表现为非特异性腹痛，药物治疗无效。实验室检查和临床检查结果不明确，而腹部计算机断层扫描（CT）显示回肠系膜有一个囊性病变。我们对该病变进行了开放性手术切除，临床症状得以缓解。组织学检查显示该病变为LMC。在五年的CT扫描随访中，我们未记录到任何复发情况。LMC通常无特异性症状，超声（US）或CT扫描等影像学诊断技术可明确其特征、位置或大小。术前诊断仍然困难，这就是为什么完整的手术切除是金标准治疗方法，旨在预防恶性转化、并发症和复发。
