囊性淋巴管瘤是先天性发育畸形，淋巴管发育增生形成的良性肿瘤，也有认为淋巴管瘤可继发于淋巴管阻塞及感染、腹部创伤、放射线、恶性肿瘤等原因引起的淋巴管损伤造成淋巴引流受阻，淋巴管腔异常扩张致淋巴管瘤样增大。淋巴管瘤发生在肠道者较少见，而发生于小肠则更加罕见。淋巴管瘤由于生长速度较慢，早期无明显症状，术前诊断困难，目前仍以手术完整切除囊肿为治疗首选。本病例囊肿巨大，经开腹行小肠肿瘤切除术+肠切肠吻合术，术后一般情况良好，现报告如下。%Cystic lymphangioma is a congenital malformations, the proliferation of lymphatic development benign tumor, there are also think lymphoceles may occur secondary to the lymphatic obstruction and infection, abdominal trauma, radiation, caused malignant tumor lymphatic damage caused is blocked, lymphatic drainage lymphatic Spaces abnormal expansion of lymphangioma sample increases. Lymphangioma is relatively rare in the gut, and occurs in the smal intestine is even more rare. Lymphangioma due to slower growth, no obvious symptoms early, preoperative diagnosis is dif icult, stil with complete resection of cyst surgery for treatment of first choice. In this case, the cyst is huge, the open cut smal intestinal tumor resection + bowel intestinal anastomosis, postoperative general condition is good, now report as fol ows.
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