Wan Y L, Lee T Y, Hung C F, Ng K K
Department of Diagnostic Radiology, Chang Gung Memorial Hospital at Linkou, Chang Gung College of Medicine and Technology, Taiwan.
Eur J Radiol. 1998 Mar;27(1):77-9. doi: 10.1016/s0720-048x(97)00061-2.
A rare case of cecal lymphangioma which presented as intussusception was reported. The patient was a 28-year-old female who suffered from vomiting, abdominal pain and mass for 6 days. Ultrasonography revealed a multilocular cyst that measured 7 cm in maximal diameter, and an adjacent target-like mass with concentric layering in the right abdomen. Computed tomography confirmed the sonographic findings with fatty component in the target-like mass. Intussusception in adults is a diagnostic challenge to a physician due to its vague and nonspecific presentations. Laparatomy is indicated because of underlying pathology in a vast majority of cases. Diagnosis can be established by the characteristic findings mentioned above.
报告了一例表现为肠套叠的盲肠淋巴管瘤罕见病例。患者为一名28岁女性,出现呕吐、腹痛和肿块6天。超声检查显示一个最大直径为7cm的多房性囊肿,以及右腹部一个相邻的具有同心分层的靶样肿块。计算机断层扫描证实了超声检查结果,靶样肿块中有脂肪成分。成人肠套叠因其表现模糊且无特异性,对医生来说是一项诊断挑战。由于绝大多数病例存在潜在病理情况,故需行剖腹手术。可通过上述特征性表现确诊。