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70 岁男性巨大腹膜后淋巴管瘤 1 例报告

Giant retroperitoneal lymphangioma in a 70-year-old male: a case report.

机构信息

Department of General Surgery A, University Hospital Charles Nicolle, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.

出版信息

Pan Afr Med J. 2022 Jun 24;42:153. doi: 10.11604/pamj.2022.42.153.34175. eCollection 2022.

Abstract

Lymphangiomas are relatively rare benign congenital tumors of the lymphatic system. They are usually discovered during childhood and typically occur in the neck and axillary regions. Retroperitoneal lymphangiomas are a rare occurrence and represent 1% of all cases. Here, we presented a 70-year-old male who presented with abdominal discomfort and chronic constipation in the last three years. A computerized tomography scan showed a giant abdominal hypodense cystic mass measuring 195 x 145 mm, which laminates the abdominal aorta, the left iliac vessels, and the left ureter. The patient underwent surgical exploration. Due to the giant cystic volume, it was carefully opened, aspirated, and removed. The histopathological examination showed a retroperitoneal lymphangioma. In conclusion, giant retroperitoneal lymphangioma in an adult is a rare occurrence. The primary treatment is complete surgical excision. Histopathological examination is essential for diagnosis confirmation.

摘要

淋巴管瘤是一种相对罕见的淋巴系统良性先天性肿瘤。它们通常在儿童时期被发现,通常发生在颈部和腋窝区域。腹膜后淋巴管瘤是一种罕见的情况,占所有病例的 1%。在这里,我们介绍了一位 70 岁的男性,他在过去三年中出现腹部不适和慢性便秘。计算机断层扫描显示一个巨大的腹部低密囊性肿块,大小为 195x145mm,包绕腹主动脉、左髂血管和左输尿管。患者接受了手术探查。由于囊性肿块巨大,我们小心地打开、抽吸并切除了它。组织病理学检查显示为腹膜后淋巴管瘤。总之,成人巨大腹膜后淋巴管瘤是一种罕见的情况。主要治疗方法是完全手术切除。组织病理学检查对于确诊至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fc2/9482249/ccf9b83506cf/PAMJ-42-153-g001.jpg

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