小腸リンパ管腫の1例:本邦報告例28例の検討 A CASE OF LYMPHANGIOMA OF THE JEJUNUM AND A REVIEW OF 28 CASES IN JAPAN

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Abstract

小腸リンパ管腫は稀で,本邦では現在まで28例が報告されているに過ぎない.最近,空腸に原発した本症を経験したので,若干の文献的考察を加えて報告する. <BR>症例は30歳女性で,悪心,腰痛を主訴に入院した.検査成績には異常はみられなかったが,エコー,CTにて下腹部に10.0×8.5cmの嚢腫が認められた.卵巣嚢腫の診断で開腹したところ,腫瘤はTreitz靱帯より140cm肛門側より発生しており,大きさ13×9×5cm,多胞性で,内容液は黄色透明であった.空腸部分切除を施行し,病理組織学的に海綿状リンパ管腫の診断を得た.

Lymphangioma of the small intestine is so rare that only 28 cases have been reported in Japan. This paper describes a case of lymphagioma of the jejunum, together with a review of the literature. <BR>A 30-year-old woman was admitted to our hospital with the chief complaints of nausea and lumbago. Urinalysis, haematological and biochemical screening were normal. Ultrasonography and computed tomography revealed a cyst of 10.0×8.5cm in size in the lower abdomen. On laparotomy, a 13×9×5cm multilocular cyst, filled with a clear yellow fluid was found in the jejunum 140cm distant from the Treitz's ligament. Partial resection of the jejunum was carrried out, and pathologically it was diagnosed as cavernous lymphangioma.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 51(2), 327-330, 1990

    Japan Surgical Association

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