Morisaki F, Abe S, Orita T, Urakubo N, Hiramatsu S, Oota T, Yoshinaga Y, Fujiwara K
Department of Surgery, Onomichi Municipal Hospital, Japan.
Kyobu Geka. 1997 Feb;50(2):163-5.
Fourty seven years old woman came to our hospital for further examination of incidentally found abnormal chest shadow. Chest US examination revealed lobulated cystic mass. The cyst wall was thin and smooth. Chest computed tomography showed water density cystic mass. Preoperative diagnosis was pericardial cyst. Operation was done. Lobulated cyst was attached to pericardium and diaphragma. Though adhesion to the pericardium was loose, adhesion to the diaphragma was tight. To achieve complete resection of the cyst, partial resection of the diaphragma was needed. Postoperative course was uneventful. Cystic lymphangioma is benign but complications such as infection or bleeding were reported. Then complete resection of the cyst should be done.
一位47岁女性因偶然发现胸部阴影异常前来我院进一步检查。胸部超声检查显示为分叶状囊性肿块。囊肿壁薄且光滑。胸部计算机断层扫描显示为水样密度的囊性肿块。术前诊断为心包囊肿。遂进行手术。分叶状囊肿附着于心包和膈肌。虽然与心包的粘连较松散,但与膈肌的粘连紧密。为完整切除囊肿,需要部分切除膈肌。术后病程顺利。囊性淋巴管瘤是良性的,但有报道称会出现感染或出血等并发症。因此应完整切除囊肿。