A rare case of huge intra-abdominal cystic lymphangioma arising from rectovesical pouch; a case report

Abebe, Dabessa Mossisa; Nureta, Tilahun Habte; Gima, Tadesse

doi:10.1016/j.ijscr.2023.108275

Cited by 2 publications

(3 citation statements)

References 12 publications

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“…Seventy percent of LMs predominantly manifest in the head and neck region, often leading to dysphagia and discomfort due to potential bleeding. Approximately 25% of cases occur in the chest wall and limbs, while a minority (5%) are found within internal organs, primarily located in the mesentery, omentum, and mesocolon ( 4 , 7 ). Notably, studies have reported that abdominal LM is most frequently observed within the small intestine among 48 adults ( 8 ), with approximately 25% occurring specifically in the duodenum followed by involvement of the small intestine (19%).…”

Section: Discussionmentioning

confidence: 99%

“…The typical ultrasound characteristics of intestinal LM include cystic or cystic-solid appearance with well-defined boundaries and multiple thin or thick septations. Color Doppler imaging reveals the absence of blood flow signal or color blood flow signal in both the periphery and interior ( 2 , 6 , 7 ). However, it should be noted that sound transmission may be compromised in the cystic portion due to hemorrhage or fibrin deposition ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

“…The recurrence rate can be as high as 40% ( 12 ), with recurrence closely associated with the location of LM. To minimize the risk of tumor recurrence, it is crucial to perform a comprehensive resection of all abnormal tissue and ligate the surrounding lymphatic vessels during surgery ( 7 ). In cases where the tumor infiltrates adjacent bowel, major branching vessels, or other organs, simultaneous resection of the affected organ along with its free margins is necessary to effectively reduce the likelihood of recurrence ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

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Mesenteric cystic lymphatic malformation: a rare case report and review of the literature

Li,

Wang,

Zhu

2024

AME Case Rep

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Background Mesenteric cystic lymphatic malformation (LM) is a rare congenital benign malformation in adults, and its location in the mesentery of the sigmoid colon is even rarer. Case Description We describe a rare case of LM of the mesentery in a 49-year-old woman. The patient was inadvertently identified during a physical examination 1 month earlier. Transvaginal ultrasound and magnetic resonance imaging (MRI) revealed the presence of an intrapelvic mass posterior to the uterus and right anterior to the sigmoid colon. According to the results of the ultrasound, the mass showed hypoechoic solid features with a blood flow signal, and MRI showed that the internal enhancement of the mass was uneven. According to its imaging characteristics, it was preliminarily speculated as a stromal tumor. The patient underwent laparoscopic fenestration and drainage of a sigmoid mesocolic cyst. The patient underwent laparoscopic fenestration and drainage of the sigmoid mesocolic cyst. The pathological diagnosis was cystic lymphangioma of the sigmoid mesangium. After the operation, the patient recovered well without any complications. No recurrence was observed during the 3-month follow-up. Conclusions LM is a challenging and rare disease, and its diagnosis is difficult. However, the combination of imaging examination and endoscopic ultrasound (EUS) technology can significantly improve the accurate diagnosis rate of the disease. Complete resection is the best choice for definite diagnosis and prevention of recurrence. It has been proved that laparoscopic surgery is a safe and feasible method for the treatment of this disease.

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Section: Discussionmentioning

confidence: 99%