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肠系膜根部假性囊肿:在一名无症状患者中的发现——病例报告

Mesenteric root pseudocyst: finding in an asymptomatic patient-a case report.

作者信息

Suldrup F, Uad P, Vaccaro A, Mazza M, Santino J, Mazza O

机构信息

Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.

出版信息

Surg Case Rep. 2024 Mar 29;10(1):72. doi: 10.1186/s40792-024-01830-z.

DOI:10.1186/s40792-024-01830-z
PMID:38548968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10978559/
Abstract

BACKGROUND

Mesenteric cysts are one of the rarest abdominal tumor masses, representing a little-studied pathology. In turn, the variability and non-specificity of clinical manifestations make diagnosis difficult, as it can be reached by imaging findings due to another cause or by non-specific abdominal pain.

CASE PRESENTATION

This article describes the case report of an asymptomatic 28-year-old patient who presented a 6-cm abdominal cystic mass with mixed density, which was found incidentally by computed tomography. Exploratory laparoscopy was performed followed by conversion to conventional surgery to extract the tumor mass. The anatomical pathology diagnosis was pseudocyst of the mesentery root. Mesenteric cysts are one of the rarest abdominal tumor masses, representing a little-studied pathology. In turn, the variability and non-specificity of clinical manifestations make diagnosis difficult, as it can be reached by imaging findings due to another cause or by non-specific abdominal pain.

CONCLUSIONS

Mesenteric cysts are rare, and their nonspecific symptoms often lead to diagnosis based on imaging findings. Complete laparoscopic enucleation is the standard treatment.

摘要

背景

肠系膜囊肿是最罕见的腹部肿瘤之一,是一种研究较少的病理情况。反过来,临床表现的变异性和非特异性使得诊断困难,因为其可能因其他原因的影像学表现或非特异性腹痛而被发现。

病例报告

本文描述了一名28岁无症状患者的病例报告,该患者经计算机断层扫描偶然发现一个6厘米的腹部混合密度囊性肿块。进行了探索性腹腔镜检查,随后转为传统手术以切除肿瘤肿块。解剖病理学诊断为肠系膜根部假性囊肿。肠系膜囊肿是最罕见的腹部肿瘤之一,是一种研究较少的病理情况。反过来,临床表现的变异性和非特异性使得诊断困难,因为其可能因其他原因的影像学表现或非特异性腹痛而被发现。

结论

肠系膜囊肿罕见,其非特异性症状常导致基于影像学表现进行诊断。完整的腹腔镜摘除术是标准治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/0ec509a74634/40792_2024_1830_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/43e2a5e53fbd/40792_2024_1830_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/5f29a9242749/40792_2024_1830_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/8a2a8726aaec/40792_2024_1830_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/9f898b951814/40792_2024_1830_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/e1816f94c85f/40792_2024_1830_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/9f5ad81695ef/40792_2024_1830_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/d0c18fa92f71/40792_2024_1830_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/0ec509a74634/40792_2024_1830_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/43e2a5e53fbd/40792_2024_1830_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/4d0bae209d63/40792_2024_1830_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/1b7c9cb4a56e/40792_2024_1830_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/5f29a9242749/40792_2024_1830_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/8a2a8726aaec/40792_2024_1830_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/9f898b951814/40792_2024_1830_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/e1816f94c85f/40792_2024_1830_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/9f5ad81695ef/40792_2024_1830_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/d0c18fa92f71/40792_2024_1830_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7531/10978559/0ec509a74634/40792_2024_1830_Fig10_HTML.jpg

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本文引用的文献

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Mesenteric cyst: abdominal lymphangioma.肠系膜囊肿:腹部淋巴管瘤。
Arq Bras Cir Dig. 2014 Apr-Jun;27(2):160-1. doi: 10.1590/s0102-67202014000200016.
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Mesenteric cysts: an institution experience over 14 years and review of literature.肠系膜囊肿:一家机构14年的经验及文献综述
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Mesenteric cyst.肠系膜囊肿
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Retroperitoneal, mesenteric, and omental cysts.腹膜后、肠系膜和网膜囊肿。
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