Murakami Kohei, Demura Koichi, Yoshimoto Sakiko, Nakamoto Rennosuke, Inui Motoharu, Mitsufuji Suguru, Nonaka Ryoji, Ide Yoshihito, Morimoto Osakuni, Iwasaki Teruo, Hatanaka Nobutaka, Nishida Toshirou
Dept. of Surgery, Japan Community Health care Organization(JCHO)Osaka Hospital.
Gan To Kagaku Ryoho. 2022 Dec;49(13):1476-1478.
A 26-year-old man with left inguinal pain and frequent urination was examined. An abdominal ultrasound revealed a cystic lesion. In further examinations, CT and MRI showed a large cystic lesion of about 20 cm in size, connected to mesenteric- derived blood vessels. We suspected a huge mesenteric lymphangioma and decided to perform a laparotomy. A tumor was seen in the mesentery of the jejunum and adhered to the duodenum widely. The tumor could be removed safely without resection of the duodenum by first sucking the contents and shrinking the tumor. The final pathological diagnosis was mesenteric lymphangioma. Adult mesenteric lymphangiomas measuring larger than 20 cm are relatively rare. We review the case in the context of the relevant literature.
对一名26岁伴有左腹股沟疼痛及尿频的男性进行了检查。腹部超声显示有一个囊性病变。在进一步检查中，CT和MRI显示一个大小约20厘米的巨大囊性病变，与肠系膜来源的血管相连。我们怀疑是巨大肠系膜淋巴管瘤，并决定进行剖腹手术。在空肠系膜中发现一个肿瘤，广泛粘连于十二指肠。通过先吸出内容物并使肿瘤缩小，可在不切除十二指肠的情况下安全切除肿瘤。最终病理诊断为肠系膜淋巴管瘤。大小超过20厘米的成人肠系膜淋巴管瘤相对少见。我们结合相关文献对该病例进行了回顾。
