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以腹痛为表现的中年女性腹膜后淋巴管瘤:病例报告

Retroperitoneal lymphangioma as the final diagnosis of a middle-aged woman with abdominal pain: a case report.

机构信息

Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Surgery Department of Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Med Case Rep. 2023 Mar 15;17(1):93. doi: 10.1186/s13256-023-03803-6.

Abstract

BACKGROUND

Lymphangiomas are lesions attributed to congenital malformations of the lymphatic system, or acquired chronic obstruction of the lymphatic network due to trauma, radiation, surgical manipulation, inflammation, or infection. Overall, lymaphangiomas are rare, and particularly, retroperitoneal lymphangiomas are far more uncommon per reported cases.

CASE PRESENTATION

A 49-year-old Iranian woman presented with a progressive abdominal pain since approximately 1 month before admission. She was found to have a retroperitoneal lymphangioma after a precise radiological and surgical workup.

CONCLUSION

Retroperitoneal lymphangiomas are rare lesions, sometimes indistinguishable from malignant lesions originating from pancreas and adjacent organs. Complete surgical removal and histologic evaluation of the lesion is the gold standard of treatment and diagnosis.

摘要

背景

淋巴管瘤是一种归因于淋巴系统先天性畸形或因创伤、辐射、手术操作、炎症或感染导致的淋巴网络慢性阻塞的病变。总的来说,淋巴管瘤较为罕见,特别是腹膜后淋巴管瘤,根据已报道的病例来看,更为罕见。

病例介绍

一名 49 岁的伊朗女性,因入院前约 1 个月出现进行性腹痛就诊。经过精确的影像学和外科检查,发现她患有腹膜后淋巴管瘤。

结论

腹膜后淋巴管瘤是一种罕见的病变,有时与源自胰腺和邻近器官的恶性病变难以区分。完全手术切除和对病变的组织学评估是治疗和诊断的金标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc5b/10015658/b64ec1ef5727/13256_2023_3803_Fig1_HTML.jpg

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