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1小肠系膜囊性淋巴管瘤误诊为卵巢肿瘤一例并文献复习显示文摘目的报道小肠系膜囊性淋巴管瘤误诊为卵巢肿瘤1例,探讨该病的诊断和治疗方法。方法 10岁的女性患者1例,间断性下腹痛1个月余,入院诊断为'卵巢肿瘤'。入院后行腹腔镜探查术及腹腔镜辅助下小肠系膜肿瘤切除+肠吻合术。结果术后病理检查结果为:小肠系膜囊性淋巴管瘤。结论对于盆腔巨大囊肿应加强术前检查,腹腔镜探查术及腹腔镜辅助手术切除是目前诊治该病的有效手段。聂革联 2012中华临床医师杂志(电子版)2012,6,19:2
2Laparoscopic segmental colectomy for colonic lymphangiomas: A definitive, minimally invasive surgical option显示文摘Colonic lymphangioma is an unusual benign malformation.We herein describe two cases.A 36-year-old woman was admitted with one year of intermittent abdominal pain;colonoscopy,abdominopelvic computed tomography and endoscopic ultrasonography(EUS)revealed enlarged cystic masses at the ascending colon.In another 40-year-old man,colonoscopy and EUS revealed an asymptomatic lobulated cystic mass with four small sessile polyps at the sigmoid colon.Both patients underwent laparoscopic segmental colectomy.Both masses were histologically confirmed as cystic lymphangiomas,and the patients were discharged without complications.The management of colonic lymphangioma depends on the individual situation;close surveillance or endoscopic therapy may be appropriate for asymptomatic lesions smaller than 2.5 cm in diameter.Surgical intervention can be considered for larger lesions or in patients who develop complication risks.Laparoscopic segmental colon resection may be recommended to excise relatively large submucosal lesions because it is a definitive,minimally invasive intervention with a fast postoperative recovery.Chang-Hua Zhuo De-Bing Shi Min-Gang Ying Yu-Fan Cheng Yu-Wei Wang Wen-Ming Zhang San-Jun Cai Xin-Xiang Li 2014World Journal of Gastroenterology2014,20,26:0
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