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非典型囊肿:经内镜超声诊断的十二指肠周围乳糜囊肿

Not Your Typical Cyst: A Periduodenal Chylous Cyst Diagnosed via Endoscopic Ultrasound.

作者信息

Eke Chiemeziem, Greenberg Ian, Kedia Prashant

机构信息

Gastroenterology, Methodist Dallas Medical Center, Dallas, USA.

出版信息

Cureus. 2022 Jul 26;14(7):e27284. doi: 10.7759/cureus.27284. eCollection 2022 Jul.

Abstract

Chylous mesenteric cysts represent a subgroup of uncommon, mostly benign intra-abdominal masses often identified incidentally on radiographs. Diagnosis is often challenging because these lesions cannot be reliably distinguished from hematomas or other cystic lesions without direct tissue sampling. In addition, data remains scarce regarding nonsurgical diagnostic and therapeutic options for these cysts. This case describes an endoscopic option for a uniquely located chylous cyst.

摘要

乳糜性肠系膜囊肿是一组罕见的、大多为良性的腹腔内肿块,常在影像学检查时偶然发现。诊断往往具有挑战性,因为在没有直接组织采样的情况下,这些病变无法可靠地与血肿或其他囊性病变区分开来。此外,关于这些囊肿的非手术诊断和治疗选择的数据仍然很少。本病例描述了一种针对独特位置的乳糜性囊肿的内镜治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ed/9403218/60cca6c82789/cureus-0014-00000027284-i01.jpg

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本文引用的文献

2
Chylous mesenteric cyst: A diagnostic dilemma.乳糜性肠系膜囊肿:诊断难题。
Asian J Surg. 2016 Jul;39(3):182-6. doi: 10.1016/j.asjsur.2013.04.009. Epub 2013 Jun 13.
3
A MESENTERIC CHYLOUS CYST.肠系膜乳糜囊肿
Cal West Med. 1926 Apr;24(4):480-2.
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Chylous cysts of mesentery.肠系膜乳糜囊肿
Arch Surg. 1967 Jun;94(6):790-3. doi: 10.1001/archsurg.1967.01330120044009.
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Mesenteric and retroperitoneal cysts.肠系膜和腹膜后囊肿。
Ann Surg. 1986 Jan;203(1):109-12. doi: 10.1097/00000658-198601000-00017.

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