Abdominal Cystic Lymphangioma in Adults: Diagnostic Difficulties and Surgical Outcome

Turki, Ali

doi:10.21767/2254-6758.100066

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…Complete excision is the best surgical option to avoid recurrence. Recurrence rates have been calculated to range from 0% to 13.6%, with most of those occurring in retroperitoneal lymphangiomas [ 12 ]. Although lymphangiomas are benign lesions, they often behave in an aggressively invasive manner and grow to an enormous size.…”

Section: Discussionmentioning

confidence: 99%

Peri-Hilar Cystic Lymphangioma Mimicking a Biliary Cystic Lesion Causing Biliary Obstruction: A Case Report and Literature Review

Naser

Mesropyan

2023

Am J Case Rep

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Patient: Male, 62-year-old Final Diagnosis: Lymphangioma Symptoms: Asymptomatic • incidental finding Clinical Procedure: — Specialty: Surgery Objective: Rare disease Background: Lymphangiomas are rare and benign malformations of the lymphatic system. The presentation of intra-abdominal lymphangiomas, especially from within the hepatoduodenal ligament, is rare in the adult population. In this report, we examine a lymphangioma within the hepatoduodenal ligament resulting in biliary obstruction. Case Report: A 62-year-old man with surgical history of cholecystectomy presented to the hepatobiliary clinic for a peri-hilar cystic lesion identified on surveillance magnetic resonance imaging (MRI). The patient’s MRI revealed a 5.5-cm cystic lesion at the peri-hilar region, likely arising from the biliary tree, which had been increasing in size and causing biliary dilatation. The patient underwent an endoscopic ultrasound, showing a 4.3×2.2 cm cystic structure likley arising from the cystic duct stump with internal septation. An endoscopic retrograde cholangiopancreatography (ERCP) was performed and demonstrated no communication between the biliary tree and the cystic lesion. Given the uncertain etiology of the lesion and its obstructive nature, the patient was moved to the operating room for a complete excision. A well-encapsulated cystic lesion was identified between the cystic duct and the common hepatic duct, which did not communicate with the biliary tree. Pathology confirmed the diagnosis of lymphangioma with features of vascular channel proliferation in the background of fibrotic stroma and lymphoid aggregates. The vascular channel proliferation demonstrated positive immunohistochemical staining for D2-40. At 3-year follow-up, there was no evidence of post-resection recurrence. Conclusions: This case represents an acquired lymphangioma occurring as a sequela of cholecystectomy, likely caused by interruption of the lymphatic drainage system secondary to surgical manipulation.

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Section: Discussionmentioning

confidence: 99%

Peri-Hilar Cystic Lymphangioma Mimicking a Biliary Cystic Lesion Causing Biliary Obstruction: A Case Report and Literature Review

Naser

Mesropyan

2023

Am J Case Rep

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“…Se realizó una resección completa en 11 pacientes e incompleta en dos pacientes, los cuales presentaron recurrencia de la enfermedad quística. 10 Macroscópicamente, son lesiones quísticas de paredes delgadas, de colon amarillento, con múltiples tabiques en su interior, los cuales los dividen en cavidades que se encuentran llenas de líquido con alto contenido proteico y eosinofílico. 8 Desde el punto de vista histopatológico, se caracterizan por la presencia de espacios linfáticos de diverso tamaño y forma, tapizados de endotelio aplanado que expresa CD31 en el estudio inmunohistoquímico, algunos de ellos rodeados por fascículos incompletos de músculo liso, 11 y a nivel abdominal el diagnóstico diferencial se plantea fundamentalmente con el mesotelioma quístico.…”

Section: Discusión Y Revisión De La Literaturaunclassified

“…Aproximadamente 10% de los pacientes requieren de esta terapia. 10,12 En el caso clínico se pudo realizar la resección completa, lo que hace casi nula la recurrencia de la lesión.…”

Section: Discusión Y Revisión De La Literaturaunclassified

Linfangiomatosis mesentérica

Rosas¹,

Hurtado²,

Mendoza³

et al. 2019

Revista De Sanidad Militar

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We present a clinical case of a 39-year-old man, with no significant chronic degenerative or hereditary history, who begins with a clinical course of gastrointestinal bleeding with hematological repercussions, with cabinet studies (panendoscopy-colonoscopy) without evidence of hemorrhage site so it was performed enterotomography with report of increased volume and density of the mesentery of ileum segment, hyperdense and irregular linear images that increase density without enhancement with «halo» sign, concentric thickening of segment 25cm ileum, with diminished light and mucosa sfaccelada to 40 cm proximal to the ileocecal valve, coarse calcifications in mesentery. Exploratory laparotomy was performed with resection of distal ileum plus right hemicolectomy plus entire side-to-side anastomosis. With histopathological report of mesenteric lymphangiomatosis. Mesenteric lymphangiomatosis is a rare entity with a good prognosis if complete surgical resection is performed. RESUMENPresentamos un caso clínico de un hombre de 39 años, sin antecedentes crónico-degenerativos ni heredofamiliares de importancia, que inicia con cuadro clínico de hemorragia de tubo digestivo con repercusión hematológica, con estudios de gabinete (panendoscopiacolonoscopia) sin evidenciarse sitio de hemorragia, por lo que se le realizó enterotomografía con reporte de aumento de volumen y densidad del mesenterio de segmento de íleon, imágenes lineales hiperdensas e irregulares que aumentan la densidad sin realce con signo del «halo», engrosamiento concéntrico de segmento 25 cm de íleon, con disminución de la luz y mucosa esfacelada a 40 cm proximal a la válvula ileocecal, calcificaciones gruesas en mesenterio. Realizándose laparotomía exploradora con resección de íleon distal más hemicolectomía derecha más entero-entero-anastomosis-laterolateral. Con reporte histopatológico de linfangiomatosis mesentérica. La linfangiomatosis mesentérica es una entidad poco común con un pronóstico bueno si se realiza resección quirúrgica completa.Palabras clave: Hemorragia digestiva, linfangiomatosis mesentérica.

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Update on MR Imaging of cystic retroperitoneal masses

Nguyen

Siegelman

et al. 2019

Abdom Radiol

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Abdominal Cystic Lymphangioma in Adults: Diagnostic Difficulties and Surgical Outcome

Cited by 5 publications

References 14 publications

Peri-Hilar Cystic Lymphangioma Mimicking a Biliary Cystic Lesion Causing Biliary Obstruction: A Case Report and Literature Review

Peri-Hilar Cystic Lymphangioma Mimicking a Biliary Cystic Lesion Causing Biliary Obstruction: A Case Report and Literature Review

Linfangiomatosis mesentérica

Update on MR Imaging of cystic retroperitoneal masses

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