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患儿,6岁,腹部疼痛半月余来院门诊,体检发现患儿痛苦面容,腹部隆起.腹部触之囊性感、包块边界不清、无明显压痛点.B超检查显示剑突下至耻骨上探及—非纯液性暗区,前后径约11cm,内有多个强回声光带相隔,并见一弯曲的双线样稍强回声带及点状强回声,包块后壁回声增强,两侧腹包块的后下方隐约可见肠管气体回声,肝上界上移至4肋间,肝内回声均质,胆、脾及双肾末见明显异常.膀胱充盈时,见正常子宫图像,包块位于子宫的前上方,与子宫界限清楚,双侧附件未显示.超声提示:①淋巴管瘤;②囊性畸胎瘤;③囊内蛔虫?剖腹探查术见小肠中下段(回肠部位)有一多房性淋巴管瘤,约20×18×25cm,来源
Children, 6 years old, abdominal pain for more than a month to the hospital, physical examination found that children with painful face, abdominal bulge .Bacterial touch of the bladder, the mass of the border is unclear, no significant tenderness point .B ultrasound examination showed the xiphoid to suprapubic Exploring and - non-pure liquid dark area, anteroposterior diameter of about 11cm, there are multiple strong echo band separated, and see a curved double-line slightly stronger echo and punctate echoes, mass echo enhancement , Both sides of the abdominal mass behind the vaguely visible intestinal gas echo, the upper limit of the liver moved to the intercostal, intrahepatic echo homogeneity, gall bladder, spleen and renal abnormalities see the end of abnormal bladder filling, see the normal uterus , The mass is located in the front of the uterus, clear boundaries with the uterus, bilateral attachment is not displayed. Ultrasound tips: ① lymphangioma; ② cystic teratoma; ③ cysticercosis laparotomy see the lower intestine (ileum ) There is a multilocular lymphangioma, about 20 × 18 × 25cm, source