Takeuchi Y, Fujinami S, Kitagawa S, Shiro T, Fujii T, Fukui Y, Kawashima Y, Kubota Y, Shiozaki Y, Inoue K
Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan.
J Gastroenterol Hepatol. 1994 Mar-Apr;9(2):198-200. doi: 10.1111/j.1440-1746.1994.tb01243.x.
A case of retroperitoneal cystic lymphangioma observed laparoscopically is reported. In a 60 year old asymptomatic male patient, an 8 cm multi-loculated cystic lesion was detected incidentally near the splenic hilum with ultrasonography. Endosonography, computed tomography and magnetic resonance imaging revealed the lesion with thin wall and clear fluid. Laparoscopy showed a thin-walled cyst with smooth surface, and straw-coloured clear fluid was observed through the wall. These findings suggested benign aetiology, and seemed to be characteristic of cystic lymphangioma. The tumour was resected, and microscopic examination showed proliferated lymph channels intespersed by lymph follicles. Diagnosis of cystic lymphangioma was established. Laparoscopy seems a useful pre-operative method.
报告了一例经腹腔镜观察的腹膜后囊性淋巴管瘤病例。一名60岁无症状男性患者，超声检查偶然发现脾门附近有一个8厘米的多房囊性病变。内镜超声、计算机断层扫描和磁共振成像显示该病变壁薄且内含清亮液体。腹腔镜检查显示一个表面光滑的薄壁囊肿，透过囊壁可观察到稻草色清亮液体。这些发现提示为良性病因，似乎是囊性淋巴管瘤的特征。肿瘤被切除，显微镜检查显示有增生的淋巴管，其间散在淋巴滤泡。确诊为囊性淋巴管瘤。腹腔镜检查似乎是一种有用的术前方法。
