Pfeiffer M, Lambrecht W, de Heer K
Zentralbl Chir. 1981;106(11):724-33.
Mesenteric cysts belong to the rare abdominal diseases. Histomorphologically, they are classified as cystic lymphangiomas. Even though most frequently localized in the mesentery of the small intestine, they can originate from any part of the abdominal cavity with two peritoneal linings. The content of the cysts is either serous or chylous possessing immunologic active proteins. This is demonstrated by its highly antibacterial activity. Whereas in children the onset of symptoms is acute due to intestinal obstruction, in adults it is mainly chronic abdominal pains without exact localisation and often in combination with a longstanding palpable tumour. In addition to routine procedure the diagnostics includes sonography, cavography and barium meal radiography of the stomach and intestines. In some cases, especially those with solid parts angiography and computer-tomography are of additional value. Surgery is the therapeutic method of choice. Preference is given to enucleation and resection with or without removal of part of the intestine corresponding to the mesentery baring the cyst. Drainage methods are of historical interest only. In our 9 cases (3 children and 6 adults) resection was performed in 7 and enucleation in 2 cases. The postoperative courses were uneventful.
肠系膜囊肿属于罕见的腹部疾病。从组织形态学上看，它们被归类为囊性淋巴管瘤。尽管最常位于小肠系膜，但它们可起源于腹腔内有两层腹膜衬里的任何部位。囊肿内容物为浆液性或乳糜性，含有免疫活性蛋白。这通过其高度抗菌活性得以证明。儿童因肠梗阻症状发作急性，而成年人主要表现为慢性腹痛，定位不确切，且常伴有长期可触及的肿块。除常规检查外，诊断还包括超声检查、腔造影以及胃肠钡餐造影。在某些情况下，尤其是那些有实性部分的病例，血管造影和计算机断层扫描具有额外价值。手术是首选的治疗方法。优先选择囊肿摘除术和切除术，切除时可根据肠系膜是否包绕囊肿决定是否切除部分肠管。引流方法仅具有历史意义。在我们的9例病例（3名儿童和6名成年人）中，7例行切除术，2例行囊肿摘除术。术后病程顺利。
