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肠系膜囊肿:一种罕见病症。

Mesenteric Cyst: A Rare Entity.

作者信息

Singh Shailja, Shukla Rushikesh K, Gharde Pankaj

机构信息

Department of Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Nov 17;15(11):e48963. doi: 10.7759/cureus.48963. eCollection 2023 Nov.

Abstract

Mesenteric cysts are rare entities that are challenging to diagnose and treat because of their variable presentation and histological characteristics. They have been majorly classified into six groups, out of which, the chylo-lymphatic type is the most common. Their etiology remains poorly understood but is usually linked to lymphatic pathologies. They are thin-walled cysts, present in the mesentery of the gastrointestinal tract. They can mimic multiple other cysts; hence, their timely diagnosis is of utmost importance. Imaging techniques aid in the preoperative diagnosis along with a thorough physical exam. The mainstay of treatment is surgical excision of the cyst, which is essential to prevent the recurrence of malignant transformation; the usual method of removal is laparoscopy. Alternative treatments are aspiration and marsupialization, which are only utilised for specific cases. The recurrence rate is usually low after total excision, but follow-ups are recommended for early detection of recurrence. This case study highlights the significance of prompt diagnosis and proper management of mesenteric cysts.

摘要

肠系膜囊肿是罕见的疾病,由于其表现多样和组织学特征,诊断和治疗具有挑战性。它们主要分为六类,其中乳糜-淋巴管型最为常见。其病因仍知之甚少,但通常与淋巴系统疾病有关。它们是薄壁囊肿,存在于胃肠道系膜中。它们可模仿多种其他囊肿;因此,及时诊断至关重要。影像学技术有助于术前诊断,同时需要进行全面的体格检查。治疗的主要方法是手术切除囊肿,这对于预防恶性转化的复发至关重要;通常的切除方法是腹腔镜手术。替代治疗方法是穿刺抽吸和袋形缝合术,仅用于特定病例。完全切除后复发率通常较低,但建议进行随访以早期发现复发。本病例研究强调了肠系膜囊肿及时诊断和妥善管理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638d/10726100/3294a9f3e96b/cureus-0015-00000048963-i01.jpg

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