Cystic Lymphangioma of Ascending Colon

昇結腸囊狀淋巴瘤－病例報告

劉啟明(C. M. Liu) ； 沈國樑(K. L. Shen) ； 鍾均盛(C. S. Chung)

《Journal of Medical Sciences》 4卷4期 (1982/07) Pp. 1523-1527

摘要

腹部囊狀淋巴瘤為腸繫膜囊腫之一種，在臨床上甚為少見。通常腸繫膜囊腫發生於小腸的部位較多尤其是迴腸；發生於大腸部位的比率佔所有發生率的百分之三十。發生於昇結腸的病例，文獻上甚少記載。本院於去年發現一病例，患者為21歲之男性，因有右下腹痛，在馬祖戰地醫院被當作為急性闌尾炎，於剖腹探查時才發現右側腹腔有一巨大之腫瘤，轉送本院後作了第二次的剖腹探查，經病理診斷證實為囊狀淋巴瘤。因為罕見病例，除將病例報告外，並將有關腸繫膜腫瘤之病因分類及外科治療方法的種類作一文獻上之回顧。

並列摘要

Lymphangioma is a tumor of lymphatic origin usually observed in children: most commonly found in the neck, axillary region, oral cavity and groin (1). Isolated occurrence in the abdominal cavity is rather rare as evidenced by the scarcity of such reports in the medical literature. The common location of such abdominal lymphatic tumor appears to be in the mesentery of the small bowel especially that of ileum (2).Cyst of the mesentery of the large bowel is somewhat less frequent, accounting for approximatlly 30 per cent of the total incidence, mostly involving the mesentery of the sigmoid colon (3). Ten years ago we encountered and reported such a case from retroperitoneum (4).This paper describes such a tumor involving the ascending colon. Presentation and review of literature are included in this article.