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穿越迷宫:腹部手术后罕见肿瘤引发的乳糜胸和乳糜腹水揭秘

Navigating the Labyrinth: Chylothorax and Chylous Ascites Unveiled After Abdominal Surgery for an Exceptionally Rare Tumor.

作者信息

Umar Anam, Faquih Amber E, Bilal Muhammad, Garner Jeffery

机构信息

Internal Medicine, Ascension St. Vincent's Birmingham, Birmingham, USA.

Infectious Diseases, University of Alabama at Birmingham, Birmingham, USA.

出版信息

Cureus. 2024 Aug 5;16(8):e66239. doi: 10.7759/cureus.66239. eCollection 2024 Aug.

Abstract

Schwannomas, originating from the Schwann sheath of peripheral or cranial nerves, are rare tumors commonly found in the head and neck or extremities. Adrenal schwannomas, however, are exceedingly rare, accounting for less than 1% of all adrenal tumors. Here, we present a case of a 31-year-old Caucasian woman diagnosed with an adrenal schwannoma, which was incidentally discovered during imaging studies for an unrelated issue. Following laparoscopic adrenalectomy, the patient developed chylous ascites (CA) and coexistent chylothorax, posing a diagnostic challenge and necessitating a multidisciplinary approach to management.

摘要

神经鞘瘤起源于周围神经或颅神经的施万鞘,是罕见肿瘤,常见于头颈部或四肢。然而,肾上腺神经鞘瘤极为罕见,占所有肾上腺肿瘤的比例不到1%。在此,我们报告一例31岁的白种女性,被诊断为肾上腺神经鞘瘤,该肿瘤是在针对无关问题进行影像学检查时偶然发现的。腹腔镜肾上腺切除术后,患者出现乳糜性腹水(CA)并伴有乳糜胸,这带来了诊断挑战,需要多学科方法进行管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de2f/11375108/0b1f0c20bce8/cureus-0016-00000066239-i01.jpg

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