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一名儿童减压性腹部肿块及其转归——病例报告

A decompressing abdominal mass and its outcome in a child-case report.

作者信息

Aihole Jayalaxmi Shripati

出版信息

Ann Med Surg (Lond). 2022 Jun 30;79:104065. doi: 10.1016/j.amsu.2022.104065. eCollection 2022 Jul.

Abstract

INTRODUCTION

Mesenteric cysts are benign tumours occurring in both adults as well as in children; can be single or multiple, unilocular or multilocular.

IMPORTANCE

Pure chylous cysts as presenting as decompressing mass are rarely reported so far.

CASE PRESENTATION

a 2year old male child presenting with vague fullness of the abdomen and occasional vomiting since 7months of age, on imaging studies revealed it to be giant mesenteric cyst.

CLINICAL DISCUSSION

Chylous cysts are rare variants of mesenteric cysts with an incidence of 7.3-9.9% in general population.

CONCLUSION

The clinician should have high index of suspicion for a possible chylous mesenteric cyst for a clinically decompressing abdominal cyst which should be explored promptly.

摘要

引言

肠系膜囊肿是一种在成人和儿童中均会出现的良性肿瘤;可为单个或多个,单房或多房。

重要性

迄今为止,以减压性肿块形式出现的纯乳糜囊肿鲜有报道。

病例介绍

一名2岁男童自7个月大起出现腹部隐约饱满及偶尔呕吐的症状,影像学检查显示为巨大肠系膜囊肿。

临床讨论

乳糜囊肿是肠系膜囊肿的罕见类型,在普通人群中的发生率为7.3 - 9.9%。

结论

对于临床上有减压表现的腹部囊肿,临床医生应高度怀疑可能为乳糜性肠系膜囊肿,并应及时进行探查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8e6/9289413/2a45e91f36f3/gr1.jpg

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