急性虫垂炎様症状で発症した後腹膜嚢腫状リンパ管腫の2例-最近10年間の報告例を中心とした文献的考察-

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  • TWO CASES OF RETROPERITONEAL CYSTIC LYMPHANGIOMA PRESENTING WITH SYMPTOMS SUGGESTIVE OF ACUTE APPENDICITIS

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Two cases of retroperitoneal cystic lymphangioma which developed similar symptoms to acute appendicitis at their onsets and were operated on with a diagnosis of appendicitis at the other hospitals are reported.<br> Case 1: A 22-year-old female visited another hospital because of a fever and right lower quadrant pain. Regional tenderness and muscle defense were noted. Leucocytosis was marked. She underwent surgery under a diagnosis of appendicitis but her illness persisted. Later, CT and ultrasonography revealed a large cystic mass in her retroperitoneum. Case 2: A 30-year-old man was seen at another hospital because of right lower quadrant pain when a cystic lesion in the left upper abdomen was confirmed. Eight days later he had a right lower abdominal pain again and was operated on with adiagnosis of appendicitis, but only slight inflammation was noted in his appendex. One month later he again developed severe abdominal pain with peritoneal irritation and bowel paralysis.<br> Both patients were transferred to our hospital and underwent second operation with the diagnosis of retroperitoneal cystic disease. Histological study of the resected specimens revealed cystic lymphangioma.

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