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英文誌(2004-)

Journal of Medical Ultrasonics

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1995 - Vol.22

Vol.22 No.06

Case Report(症例報告)

(0473 - 0477)

後腹膜リンパ管腫の1例

A Case of Retroperitoneal Lymphangioma

庄司 功1, 八巻 倫子1, 丹治 広彰1, 椎名 正明1, 小林 千晶1, 石幡 良一1, 佐藤 佳浩1, 宍戸 牧子2, 猪狩 弘之1

Isao SHOJI1, Michiko YAMAKI1, Hiroaki TANJI1, Masaaki SHIINA1, Chiaki KOBAYASHI1, Rhoichi ISHIHATA1, Yoshihiro SATOH1, Makiko SlSIDO2, Hiroyuki IGARI1

1大原綜合病院胃腸科, 2大原綜合病院内科

1Division of Gastroenterology Ohara General Hospital, 2Division of Internal Medicine Ohara General Hospital

キーワード : Lymphangioma, Lymphoscintigraphy, Magnetic resonance imaging (MRI), Retroperitoneal tumor, Ultrasonography

An 18-year-old man was referred to this institution with complaints of general fatigue and facial edema. Results of laboratory tests on admission indicated hypoproteinemia, hyperlipidemia, proteinuria, and hematuria. Ultrasonographic (US), computed tomographic (CT), and magnetic resonance imaging (MRI) studies showed a polycystic tumor in the retroperitoneum. The tumor encircled the abdominal aorta and inferior vena cava and caused lateral deviation of the right ureter. No invasive tumor growth toward other retroperitoneal organs was observed, however. Lymphoscintigraphy led to a diagnoses of retroperitoneal cystic lymphangioma. Surgical treatment was thus mandatory.