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青年成人巨大乳糜性肠系膜囊肿:一例报告

Giant chylous mesenteric cyst in a young adult: A case report.

作者信息

Tiruneh Sileshi Genetu, Fetene Serkadis Muluye, Gashey Eneyew Mebratu

机构信息

Department of Surgery, GAMBY General Teaching Hospital, Bahir Dar, Ethiopia.

Department of Pathology, GAMBY General teaching Hospital, Bahir Dar, Ethiopia.

出版信息

Int J Surg Case Rep. 2025 Feb;127:111003. doi: 10.1016/j.ijscr.2025.111003. Epub 2025 Jan 31.

Abstract

INTRODUCTION

Mesenteric cysts are rare benign intra-abdominal lesions located in the mesentery of the gastrointestinal tract and may extend from the base of the mesentery into the retro-peritoneum. Majority of mesenteric cysts occurred in the small bowel mesentery.

CASE PRESENTATION

A 35-year-old male presented with a one year history of nonspecific abdominal pain and distension. Abdominal ultrasound revealed a large cystic mass. During surgical exploration, a giant mesenteric cyst was identified. Complete surgical enucleation of the cyst was successfully performed without requiring bowel resection.

DISCUSSION

A mesenteric cyst is any cystic lesion found within the mesentery. While its precise cause remains uncertain, various theories have been suggested. The clinical presentation of mesenteric cysts is variable. Surgical intervention remains the primary treatment approach for managing mesenteric cysts.

CONCLUSION

Chylous mesenteric cysts are rare, benign intra-abdominal tumors that often present with nonspecific clinical features, making their diagnosis challenging. These cysts should always be included in the differential diagnosis when evaluating abdominal cystic lesions.

摘要

引言

肠系膜囊肿是罕见的良性腹腔内病变,位于胃肠道系膜内,可从系膜根部延伸至腹膜后。大多数肠系膜囊肿发生在小肠系膜。

病例介绍

一名35岁男性,有一年非特异性腹痛和腹胀病史。腹部超声显示一个大的囊性肿块。手术探查时,发现一个巨大的肠系膜囊肿。成功地完整切除了囊肿,无需进行肠切除。

讨论

肠系膜囊肿是指在系膜内发现的任何囊性病变。虽然其确切病因尚不确定,但已提出了各种理论。肠系膜囊肿的临床表现各异。手术干预仍然是治疗肠系膜囊肿的主要方法。

结论

乳糜性肠系膜囊肿是罕见的良性腹腔肿瘤,常表现为非特异性临床特征,使其诊断具有挑战性。在评估腹部囊性病变时,这些囊肿应始终列入鉴别诊断范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d618/11836511/6ec99ef63146/gr1.jpg

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