论文部分内容阅读
患儿女,13岁。因“间断腹痛6个月余,发现腹腔囊性包块4个月余,腹痛加重40余天”入院。体检:腹平软,左下腹压痛,无反跳痛、肌紧张,肠鸣音正常。彩超检查示胰尾区域囊性团块,大小约7.0 cm×6.2 cm,囊壁不厚,囊液清亮,考虑来源于胰尾可能大。CT检查示左侧腹膜后一大小约7.0 cm×6.5 cm×4.0 cm囊性低密度影,边界清晰,有分隔,呈“葫芦”状,其内密度均匀,增强后囊壁轻度强化,与胰尾紧邻,与脾、胃分界清楚,考虑腹膜后囊性占位,如淋巴管瘤等可能(图1A~D)。
Children with children, 13 years old. Because of “intermittent abdominal pain more than 6 months and found that cystic cystic mass more than 4 months, abdominal pain aggravated more than 40 days ” admission. Physical examination: abdominal soft, left lower quadrant tenderness, no rebound tenderness, muscle tension, bowel sounds normal. Color ultrasonography showed cystic clumps in the caudate tail area, the size of about 7.0 cm × 6.2 cm, the wall is not thick, cystic fluid clear, considering the possibility of pancreatic tail may be large. CT examination showed a size of about 7.0 cm × 6.5 cm × 4.0 cm on the left side of the retroperitoneal cystic low density, with clear boundary and separation, showing a “gourd” shape with uniform density and slight enhancement of posterior wall , And the tail immediately adjacent to the spleen and stomach clear boundaries, consider retroperitoneal cystic space, such as lymphangioma may (Figure 1A ~ D).