小腸リンパ管腫の1例  [in Japanese] SMALL INTESTINAL LYMPHANGIOMA :A CASE REPORT  [in Japanese]

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Abstract

小腸・腸間膜にまたがるリンパ管腫は稀で,術前診断は比較的困難とされている.今回,腹部超音波およびCT検査で,術前に診断が可能であった症例を経験したので報告する.<br> 症例は4歳の男児で腹痛および嘔吐を主訴に近医を受診し,当科に紹介された.白血球の増加と腹部単純X線検査で小腸ガスおよび腸管ガスの圧排像を認めた. CTおよび超音波検査で,移動性の腫瘤像を認め待機的に手術を行った. Treitz靱帯より約50cmの空腸および腸間膜にまたがる嚢胞性腫瘤を認め,嚢腫を含めた小腸部分切除を施行した.病理組織学的には腸管壁より発生した嚢胞状リンパ管腫であった.

Cystic lymphangioma extending from the smallintestine to mesentery is rare and presents difficulty in preoperative diagnosis. We report such a rare case diagnosed by abdominal ultrasonography and CT preoperatively.<br> A 4-year-old boy was transferred to the hospital because of acute abdominal pain and vomiting. On admission, the white blood cell count increased, and an abdominal plain X-ray film revealed gas in the small intestine and oppression finding of intestinal gas. Ultrasonography and CT demonstrated a wellmovable cystic mass. Under a diagnosis of mesenteric cyst, an elective laparotomy was performed. A cystic mass extending from the jejunum to its mesenterium was located at 50cm from the Treitz ligament. A partial resection of the small intestine including the cyst was performed. Histopathologically, the mass was cystic lymphangioma originating from the jejunal subserosal layer.

Journal

  • Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 63(4), 911-914, 2002-04-25

    Japan Surgical Association

References:  9

Cited by:  2

Codes

  • NII Article ID (NAID)
    10008618917
  • NII NACSIS-CAT ID (NCID)
    AA11189709
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    13452843
  • Data Source
    CJP  CJPref  J-STAGE 
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