关键词: Case report Jejunum Mesenteric cystic lymphangioma Ovarian torsion Pathological examination Rupture Surgical excision

来  源:   DOI:10.12998/wjcc.v12.i4.847   PDF(Pubmed)

Abstract:
BACKGROUND: Cystic lymphangioma is a rare benign tumor that affects the lymphatic system. Mesenteric lymphangiomas in the small bowel are extremely uncommon.
METHODS: We present a 21-year-old female patient who complained of abdominal pain. The diagnosis of ovarian torsion was suspected after abdominopelvic unenhanced computed tomography and ultrasound revealed a large cyst in contact with the bladder, ovary, and uterus. The patient underwent emergency laparotomy performed by gynecologists, but it was discovered that the cystic tumor originated from the jejunum. Gastrointestinal surgeons were then called in to perform a cystectomy. Pathological examination confirmed the diagnosis of cystic lymphangioma of the mesentery. The patient had an uneventful postoperative recovery.
CONCLUSIONS: Mesenteric lymphangiomas can cause abdominal pain, and imaging techniques can help determine their characteristics, location, and size. Complete surgical excision and pathological examination are considered the standard treatment and diagnostic method.
摘要:
背景:囊性淋巴管瘤是一种罕见的良性肿瘤,会影响淋巴系统。小肠中的肠系膜淋巴管瘤极为罕见。
方法:我们介绍了一名21岁女性患者,主诉腹痛。在腹盆腔未增强计算机断层扫描和超声显示与膀胱接触的大囊肿后,怀疑诊断为卵巢扭转。子房,还有子宫.患者接受了妇科医生的紧急剖腹手术,但是发现囊性肿瘤起源于空肠。然后,胃肠外科医生被要求进行膀胱切除术。病理检查证实诊断为肠系膜囊性淋巴管瘤。患者术后恢复顺利。
结论:肠系膜淋巴管瘤可引起腹痛,成像技术可以帮助确定它们的特征,location,和大小。完整的手术切除和病理检查被认为是标准的治疗和诊断方法。
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