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钝性创伤致腹股沟淋巴管瘤——一种罕见并发症及处理考量:病例报告

Blunt Trauma-Induced Lymphocele in the Groin - An Uncommon Complication and Management Considerations: A Case Report.

作者信息

Gunawardena Thilina

机构信息

Department of Vascular and Transplant Surgery, Teaching Hospital Polonnaruwa, Polonnaruwa, Sri Lanka.

出版信息

Vasc Specialist Int. 2024 Sep 23;40:29. doi: 10.5758/vsi.240052.

DOI:10.5758/vsi.240052
PMID:39308049
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11417421/
Abstract

Lymphoceles are common complications after certain surgical procedures. Blunt trauma can occasionally result in similar lymph accumulation. Herein, we present the rare case of a patient who developed a lymphocele in his right groin following a blunt trauma from a fallen tree branch. Aspiration and sclerotherapy were unsuccessful, and the lesion ultimately required surgical excision. Lymphoceles should be considered a rare differential diagnosis for post-traumatic cystic swelling, and their management should follow similar guidelines to those used for post-surgical lymphocele management.

摘要

淋巴管瘤是某些外科手术后常见的并发症。钝性创伤偶尔也会导致类似的淋巴液积聚。在此,我们报告一例罕见病例,一名患者因被倒下的树枝钝性创伤后,右侧腹股沟出现淋巴管瘤。抽吸和硬化治疗均未成功,病变最终需要手术切除。对于创伤后囊性肿胀,应将淋巴管瘤视为一种罕见的鉴别诊断,其治疗应遵循与手术后淋巴管瘤治疗相似的指导原则。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f756/11417421/8e07e51d9e87/vsi-40-29-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f756/11417421/2c6b29b899cb/vsi-40-29-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f756/11417421/8e07e51d9e87/vsi-40-29-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f756/11417421/2c6b29b899cb/vsi-40-29-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f756/11417421/8e07e51d9e87/vsi-40-29-f2.jpg

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本文引用的文献

1
Doxycycline sclerotherapy for post-traumatic inguinal lymphocele in a child.多西环素硬化疗法治疗儿童创伤后腹股沟淋巴管瘤
BMJ Case Rep. 2018 Jan 23;2018:bcr-2017-222795. doi: 10.1136/bcr-2017-222795.
2
Lymphatic disorders after renal transplantation: new insights for an old complication.肾移植后的淋巴系统疾病:对一种旧有并发症的新认识
Clin Kidney J. 2015 Oct;8(5):615-22. doi: 10.1093/ckj/sfv064. Epub 2015 Jul 16.
3
Management of primary symptomatic lymphocele after kidney transplantation: a systematic review.肾移植后原发性症状性淋巴囊肿的处理:系统评价。
Transplantation. 2011 Sep 27;92(6):663-73. doi: 10.1097/TP.0b013e31822a40ef.
4
Sclerotherapy in the management of postoperative lymphocele.硬化疗法在术后淋巴囊肿管理中的应用。
J Vasc Interv Radiol. 2010 Jul;21(7):1050-3. doi: 10.1016/j.jvir.2010.03.014. Epub 2010 Jun 2.
5
Anterior thoracic wall traumatic lymphocele: a case report.前胸壁创伤性淋巴管瘤:一例报告
Acta Chir Belg. 2007 Jan-Feb;107(1):78-80. doi: 10.1080/00015458.2007.11680019.
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Radiologic imaging and percutaneous treatment of pelvic lymphocele.盆腔淋巴囊肿的放射影像学检查与经皮治疗
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Injury. 1995 Dec;26(10):693-4. doi: 10.1016/0020-1383(95)00145-x.
9
Lymphocele of the thigh: a complication following tourniquet application in arthroscopy.大腿淋巴囊肿:关节镜检查中使用止血带后的一种并发症。
Injury. 1993 Jul;24(6):421-2. doi: 10.1016/0020-1383(93)90111-i.
10
Post traumatic lymphocele.创伤后淋巴管瘤
Injury. 1994 Jan;25(1):65-6. doi: 10.1016/0020-1383(94)90188-0.