Wang Yi-Kai, Liu Ying-Hao, Shuang Wei-Bing
Department of Urology, The First Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China.
World J Clin Cases. 2024 Aug 6;12(22):5258-5262. doi: 10.12998/wjcc.v12.i22.5258.
Hemolymphangioma is a very rare benign tumor in clinical practice caused by abnormalities of the vasculature. Its clinical features are often atypical, and it is easy to miss and misdiagnose. When the time of nuclear magnetic T1 is significantly reduced, the diagnosis of hemangioma should be considered. Therefore, we report this case in the hope of raising clinicians' awareness of the disease.
A 37-year-old man presented with a giant retroperitoneal hemolymphangioma. Computed tomography and magnetic resonance imaging indicated the possibility of a large perirenal lymphatic cyst. The postoperative pathological diagnosis is retroperitoneal hemolymphangioma. The patient underwent surgical excision after adequate drainage. The postoperative recovery was smooth and there were no complications. There was no recurrence during half a year of follow-up.
This case reiterates that large retroperitoneal cystic masses with significantly shortened nuclear T1 time should be considered hemolymphangioma. Specific clinical basis and experience for the diagnosis and treatment of these diseases is necessary.
血淋巴管瘤是临床实践中一种非常罕见的由脉管系统异常引起的良性肿瘤。其临床特征常不典型，容易漏诊和误诊。当核磁共振T1时间显著缩短时，应考虑血管瘤的诊断。因此，我们报告此病例，希望提高临床医生对该疾病的认识。
一名37岁男性患者，患有巨大腹膜后血淋巴管瘤。计算机断层扫描和磁共振成像提示可能为巨大肾周淋巴管囊肿。术后病理诊断为腹膜后血淋巴管瘤。患者在充分引流后接受了手术切除。术后恢复顺利，无并发症。随访半年无复发。
该病例再次强调，对于核T1时间显著缩短的巨大腹膜后囊性肿块，应考虑血淋巴管瘤。对这些疾病进行诊断和治疗需要特定的临床依据和经验。
