Santos Morales M
Bol Med Hosp Infant Mex. 1976 Sep-Oct;33(5):1111-22.
A 4-year-old girl was studied at the Pediatrics Unit at the Hospital General de México, S.S.A., with a diagnosis of abdominal tumor, probably malignant. After several laboratory tests (blood count, blood chemistry, catecholamines and the following X-ray studies: chest, skull, long bones, Cava's phlebography and excretory urography), she was submitted to surgery without a diagnosis. After this, the final diagnosis was established: mesenteric panniculitis (mesenteric lipodystrophy. This case is published because of its rare occurrence at this age and because it is important to be kept in mind in the differential diagnosis of abdominal tumors in pediatric practice.
一名4岁女孩在墨西哥总医院儿科学科接受检查,该医院隶属于墨西哥社会保险局,初步诊断为腹部肿瘤,可能为恶性。在进行了多项实验室检查(血细胞计数、血液化学、儿茶酚胺检测以及以下X线检查:胸部、颅骨、长骨、腔静脉静脉造影和排泄性尿路造影)后,她在未明确诊断的情况下接受了手术。术后,最终诊断结果为:肠系膜脂膜炎(肠系膜脂肪营养不良)。之所以公布此病例,是因为其在这个年龄段较为罕见,且在儿科临床实践中对腹部肿瘤进行鉴别诊断时需加以重视。