空肠近端特发性肠系膜淋巴管囊肿：一例临床表现不寻常的病例报告。
Idiopathic lymphatic mesenteric cyst of the proximal jejunum: A case report of an unusual clinical presentation.
作者信息
Ghielmetti Michele, Neuschütz Kerstin J, Hirschmann Anna, Marston Katharina, Steinemann Daniel C, von Strauss Und Torney Marco
机构信息
Clarunis, Department of Visceral Surgery, University Center for Gastrointestinal and Liver Diseases, St. Clara Hospital and University Hospital Basel, Basel, Switzerland.
Imamed, Radiology Northwest, Basel, Switzerland.
出版信息
Int J Surg Case Rep. 2022 Aug;97:107402. doi: 10.1016/j.ijscr.2022.107402. Epub 2022 Jul 9.
INTRODUCTION
Mesenteric cysts are rare lesions of the abdominal cavity or retroperitoneum. The exact etiopathogenesis is still undefined. Clinical manifestation can vary from asymptomatic patients to symptoms of an acute abdomen, making diagnosis very challenging.
CASE PRESENTATION
We present a case of a 47-year-old male with new ongoing polyuria and nocturia as well as episodes of slight abdominal pain. An abdominal ultrasound showed ascites and the computer tomography (CT) scan raised suspicion of an internal hernia. We performed a diagnostic laparoscopy and open resection of a cystic lesion of the small bowel mesentery. The histological examination revealed a lymphatic mesenteric cyst.
DISCUSSION
Mesenteric cysts represent rare intra-abdominal tumors that physicians should consider as a differential diagnosis in patients with abdominal pain and an intra-abdominal mass.
CONCLUSION
Surgery should be advised to prevent the development of complications and to confirm the histopathological diagnosis.
引言
肠系膜囊肿是腹腔或腹膜后的罕见病变。确切的病因仍不明确。临床表现从无症状患者到急腹症症状不等，这使得诊断极具挑战性。
病例介绍
我们报告一例47岁男性患者，出现新发持续性多尿、夜尿以及轻微腹痛发作。腹部超声显示有腹水，计算机断层扫描（CT）扫描怀疑有内疝。我们进行了诊断性腹腔镜检查并开放切除小肠系膜的囊性病变。组织学检查显示为肠系膜淋巴管囊肿。
讨论
肠系膜囊肿是罕见的腹内肿瘤，医生在腹痛和腹内肿块患者中应将其作为鉴别诊断考虑。
结论
建议进行手术以预防并发症的发生并确认组织病理学诊断。
Zotero 插件