後腹膜原発巨大リンパ管嚢腫の1手術経験

概要

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A case of giant retroperitoneal cystic lymphangioma was reported. A 4-year-old boy was admitted, complaining of abdominal distension. Physical findings showed a characteristic compressible abdominal mass which was movable transversely but not longitudinally. Abdominal ultrasound and computed tomography revealed a giant cyst almost occupying the whole abdominal cavity. GI series and intravenous pyelogram excluded GI and urinary cysts or tumors. Complete extirpation of the giant cyst was done successfully without resection of the adjacent bowel. His postoperative course was uneventful and no recurrence was seen 10 months after operation. A review of the literature shows that retroperitoneal cystic lymphangioma is rare. Its diagnosis is not so difficult but complete extirpation is often difficult. It is suggested that location of cystic lymphangioma should be correctly clarified by GI series and other diagnostic aids, and currative extirpation should be performed, if possible, to prevent recurrence.
日本小児外科学会の論文
1986-06-20