El Hassouni Fatima, Mchichou Sofia, Sassi Samia, Lamalmi Najat, Bargach Samir, Yousfi Malki Mounia, El Haddad Siham, Berrada Kenza
Mohammed V University of Rabat, Rabat, Morocco.
Mohammed V Souissi University.
Case Rep Womens Health. 2024 Aug 23;43:e00646. doi: 10.1016/j.crwh.2024.e00646. eCollection 2024 Oct.
Lymphangiomas are rare benign neoplasms traditionally thought to result from congenital lymphatic channel malformations, though they may also be associated with other conditions. Retroperitoneal lymphangiomas account for 1% of all lymphangiomas, and fewer than 200 cases have been reported. A 42-year-old woman was admitted with symptoms of abdominal pain and distension. A computerized tomography (CT) scan showed an abdomino-pelvic mass and a giant uterine myoma. The patient underwent explorative laparotomy and the whole cyst mass was removed along with the uterine myoma. Cystic lymphangiomas are often misdiagnosed because of the vague symptoms and the absence of obvious etiology. A provisional diagnosis can be made with CT but histological examination confirms the diagnosis. Cystic lymphangioma should be included in the differential diagnosis of an ovarian cystic mass. Complete resection can be curative.
淋巴管瘤是一种罕见的良性肿瘤，传统上认为是由先天性淋巴管畸形引起的，不过它们也可能与其他病症有关。腹膜后淋巴管瘤占所有淋巴管瘤的1%，报告的病例不到200例。一名42岁女性因腹痛和腹胀症状入院。计算机断层扫描（CT）显示腹盆腔有肿块和巨大子宫肌瘤。患者接受了剖腹探查术，整个囊肿肿块连同子宫肌瘤一并切除。囊性淋巴管瘤由于症状模糊且病因不明显，常被误诊。CT可作出初步诊断，但组织学检查可确诊。囊性淋巴管瘤应列入卵巢囊性肿块的鉴别诊断中。完整切除可治愈。
