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患儿龙××,女性,1(1/12)岁.腹部包块一周,于1993年6月1日入院.其母孕期未曾患病及服药、不食烟酒,其父有烟酒嗜好.父母否认近亲结婚.家族史不详.近一月患儿食欲不振.大小便正常(体格检查:发育营养较差,面色苍黄,体温37.3℃,呼吸30次/分,气管居中,表浅淋巴结未扪及.心肺(一).腹膨隆.无腹壁静脉曲张.腹软、轻压病,叩无移动性浊音,肠鸣增强.化验室检查;Hb10.8g%.白细胞总数24×10~9/L,中性43%,淋巴57%.大小便及肝肾功能均正常.手术所见:包块占据全腹,囊肿与周围组织无粘连,根部位于腹后壁.病理检查:巨观囊性包块10cm×10cm×5cm大小,灰白色有完整包膜,多囊性,囊壁厚0.5～2cm,囊腔直径3～3.5cm,囊内有淡黄色粘稠液体.镜检:囊壁内衬皱襞性粘膜,其中可见杯状细胞,囊壁可见两层平滑肌环绕,并有肌间神经丛,部分囊壁内有中性白细胞浸润.病理诊断:腹腔腹源性囊肿并炎症反应.
Children with children × 1, female, 1 (1/12) years old.A abdominal mass for one week, was admitted on June 1, 1993. The mother had no illnesses and medication during pregnancy, do not eat tobacco and alcohol, his father has tobacco and alcohol hobby Parents denied that their relatives were married. Family history is unknown. In recent January children with loss of appetite. Normal urine (physical examination: poor developmental nutrition, pale yellow, body temperature 37.3 ℃, breathing 30 beats / min, tracheal center, superficial lymph nodes Palpable heart and lung (a). Abdominal bulging. No abdominal varicose veins. Abdominal soft, mild pressure disease, percussion no moving dullness, bowel sounds enhanced laboratory tests; Hb10.8g%. The total number of white blood cells 24 × 10 ~ 9 / L, neutral 43%, lymphatic 57% .Excretion of urine and liver and kidney function are normal .Surgical findings: mass occupied the entire abdomen, cyst and surrounding tissue without adhesion, the root is located in the ventral posterior wall.Pathological examination: macroscopic cystic Mass 10cm × 10cm × 5cm size, gray with a complete envelope, polycystic, wall thickness 0.5 ~ 2cm, cyst diameter of 3 ~ 3.5cm, the capsule has a yellowish viscous liquid. Microscopic examination: wall lined Pleural mucosa, which can be seen goblet cells, the wall can be seen two smooth muscle around, and myenteric plexus, part of the wall of the neutrophil infiltration. Pathological diagnosis: Abdominal abdominal cyst and inflammatory reaction.