主动脉旁淋巴结切除术后小淋巴结导致的十二指肠狭窄：病例报告和文献综述

IF 2 4区医学 Q2 OBSTETRICS & GYNECOLOGY

Taiwanese Journal of Obstetrics & Gynecology Pub Date : 2024-09-01 DOI:10.1016/j.tjog.2024.04.017

Yuji Tanaka, Akimasa Takahashi, Tsukuru Amano, Hiroki Nishimura, Shunichiro Tsuji, Takashi Murakami

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引用次数: 0

摘要

病例报告我们的病例涉及一名患有子宫内膜癌的 57 岁女性，她接受了包括主动脉旁淋巴结切除术在内的手术。术后第 7 天，出现喷射状呕吐。计算机断层扫描（CT）显示十二指肠背侧有一个小淋巴结，导致十二指肠狭窄。由于囊肿太小，经皮和经十二指肠穿刺或外科手术都很困难。根据术后第 22 天的内窥镜和胃肠道系列检查结果，推测流质食物可以通过狭窄部分。因此，口服了浓缩流质食物，但没有发生呕吐。术后 2 个月，CT 显示无淋巴结肿大。结论如果内窥镜和胃肠道造影证实流质食物可以通过，则可以考虑采取保守治疗，即等待淋巴结自发缩小，并进食浓缩流质食物。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Duodenal stenosis due to small lymphocele after para-aortic lymphadenectomy: A case report and review of the literature

Objective

We present an unusual case of a small para-aortic lymphocele causing duodenal stenosis after lymphadenectomy and discuss its treatment.

Case report

Our case involved a 57-year-old woman with endometrial cancer who underwent surgery, including para-aortic lymphadenectomy. On postoperative day 7, projectile vomiting occurred. Computed tomography (CT) revealed a small lymphocele in the dorsal duodenum, causing duodenal stenosis. Transpercutaneous and transduodenal puncture or surgical procedures were difficult because the cyst was too small. Per endoscopic and gastrointestinal series findings on the postoperative day 22, a liquid diet was presumed to be able to pass through the narrow portion. Hence, concentrated liquid food was administered orally; no vomiting occurred. At 2 months postoperatively, CT showed no lymphocele.

Conclusion

Conservative treatment involving waiting for spontaneous lymphocele reduction with a concentrated fluid diet may be considered in such cases if fluid passage is confirmed with endoscopy and gastrointestinal series.

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来源期刊

Taiwanese Journal of Obstetrics & Gynecology OBSTETRICS & GYNECOLOGY-

CiteScore

3.60

自引率

23.80%

发文量

207

审稿时长

4-8 weeks

期刊介绍： Taiwanese Journal of Obstetrics and Gynecology is a peer-reviewed journal and open access publishing editorials, reviews, original articles, short communications, case reports, research letters, correspondence and letters to the editor in the field of obstetrics and gynecology. The aims of the journal are to: 1.Publish cutting-edge, innovative and topical research that addresses screening, diagnosis, management and care in women''s health 2.Deliver evidence-based information 3.Promote the sharing of clinical experience 4.Address women-related health promotion The journal provides comprehensive coverage of topics in obstetrics & gynecology and women''s health including maternal-fetal medicine, reproductive endocrinology/infertility, and gynecologic oncology. Taiwan Association of Obstetrics and Gynecology.