METHODS: A 49 year-old male was admitted to the emergency department with 6-day onset of abdominal pain, bowel obstruction signs, palpable tumour located in the upper hemi-abdomen, systemic inflammatory response syndrome, 36,100/mm(3) white cells, 4.21 ng/ml procalcitonin, abdominal computed tomography scan with evidence of a mesenteric cystic tumour. An exploratory laparotomy was performed, finding the presence of a mesenteric pseudocyst of the jejunum with infection signs, extirpated and sent for histopathological examination. The clinical progress of the patient was satisfactory with the discharge of the patient 7 days after the surgical intervention.
CONCLUSIONS: These cysts can debut as an acute abdomen due to haemorrhage, infection, obstruction and/or bowel perforation, complications can be life threatening if not detected and surgically treated at an early stage by performing a resection of the pseudocysts, with or without bowel resection, depending on the location and the size of the cyst.
方法:一名49岁男性因腹痛发作6天进入急诊科,肠梗阻征象,可触及的肿瘤位于上半腹部,全身炎症反应综合征,36,100/mm(3)白细胞,4.21ng/ml降钙素原,腹部计算机断层扫描扫描显示肠系膜囊性肿瘤。进行了剖腹探查术,发现肠系膜假性空肠囊肿有感染迹象,切除并送去组织病理学检查。患者在手术干预后7天出院,患者的临床进展令人满意。
结论:由于出血,这些囊肿可以作为急腹症出现,感染,梗阻和/或肠穿孔,如果不在早期发现并通过切除假性囊肿进行手术治疗,并发症可能危及生命,不管有没有肠切除术,取决于囊肿的位置和大小。