Clinical Aspects of Intraabdominal Cystic Lymphangioma in Korea

Na, Woon Tae; Lee, Tae Hee; Lee, Byung Seok; Kim, Seok Hyun; Chae, Hee Bok; Kim, Seok Bae; Kim, Yong Seok; Kim, Sun Moon; Im, Euyi Hyeog; Huh, Kyu Chan; Choi, Young Woo; Kang, Young Woo

doi:10.4166/kjg.2010.56.6.353

Cited by 5 publications

(8 citation statements)

References 15 publications

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“…(4,5,13) The sizes of these tumors were 5, 9 and 20 cm, respectively. While the 5 and 9 cm tumors were resected by omental excision without gastrectomy, the 20 cm tumor required gastrectomy.…”

Section: Discussionmentioning

confidence: 97%

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Giant Mesenteric Cystic Lymphangioma Originating from the Lesser Omentum in the Abdominal Cavity

et al. 2011

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A 48 year old woman was diagnosed with a huge cystic mass in her abdominal cavity. She complained of significant abdominal discomfort due to the mass. The abdominal computed tomography revealed a giant multi-lobulated mass, measuring 26×12 cm in size, adjacent to the lesser curvature of the stomach. In the operation field, the mass was found to originate from the lesser omentum, including the right and left gastric vessels and the vagus nerves, and to invade the lesser curvature of the stomach. For curative resection, distal subtotal gastrectomy with mass excision followed by gastroduodenostomy were performed. This mass was pathologically diagnosed to be a mesenteric cystic lymphangioma; in fact, the largest ever reported. The patient had no complications during the postoperative period and was discharged from the hospital on the seventh day after surgery.

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Section: Discussionmentioning

confidence: 97%

“…To date, various sizes and locations of MCLs have been reported, and intestinal resection is rarely required to pathologically diagnose and cure them. (4,5)…”

Section: Introductionmentioning

confidence: 99%

Giant Mesenteric Cystic Lymphangioma Originating from the Lesser Omentum in the Abdominal Cavity

et al. 2011

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“…Furthermore, the disseminated peritoneal cystic lymphangiomatosis is a rare form of the disease. It might mimic peritoneal carcinosis, and it is usually associated with mediastinal lesions and chylothorax [ 7 , 10 ]. Abdominal US, CT, and exploratory laparoscopy may be helpful in establishing the diagnosis [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

A ruptured mesenteric lymphangioma causing peritonitis: a case report

Kharkhach,

Rhoul,

Police

et al. 2024

Journal of Surgical Case Reports

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Cystic lymphangioma is a rare disease that is mainly diagnosed in childhood. When diagnosed, the lesion presents an indication for surgery due to the risk of serious complications. Herein, we report the case of a 32-year-old patient who presented to the emergency room for abdominal pain that developed 2 days before with worsening symptoms and abdominal pain in the last 24 hr. The computed tomography showed diffuse wall thickening of the jejunum and proximal ileum with mesenteric fat infiltration, a mesenteric collection, and a moderate volume of ascites extending into the pelvis. A laparotomy was performed, revealing diffuse chemical peritonitis with a crater-like lesion in the jejunal mesentery, secreting lymphatic fluid. The mesenteric lesion was then excised, and the histological examination showed a ruptured cystic lymphangioma. Lymphangiomas of the small bowel mesentery are rare and may be exceptionally associated with bowel occlusion or peritonitis.

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“…To our knowledge, this was the largest retroperitoneal lymphangioma successfully treated with surgical excision to date in South Korea. A previous review based on intra-abdominal cystic lymphangiomas in Korea published in 2010 reported cases of intra-abdominal lymphangioma with the largest retroperitoneal cyst sized at 10 cm; the largest intra-abdominal cystic lymphangioma reported was 20 cm, originating in the pancreas tail[ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Initially asymptomatic, the mass eventually caused mass effect symptoms, leading the patient to opt for surgical treatment. This article presents the largest retroperitoneal lymphangioma treated with complete surgical excision in South Korea, compared to previous literature[ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical excision of a large retroperitoneal lymphangioma: A case report

Park¹,

Lee²,

Maeng³

et al. 2022

World J Clin Cases

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BACKGROUND Lymphangiomas are rare benign tumors most commonly found in children under 2 years of age; adult cases are extremely rare. Retroperitoneal lymphangiomas represent less than 1% of all lymphangiomas. Because of their benign nature and possibility of spontaneous resolution, lymphangiomas are sometimes left untreated for long periods of time. However, if they grow large enough to compress surrounding structures, retroperitoneal lymphangiomas may cause symptoms such as abdominal pain, nausea or vomiting. We report a case of a rapidly growing retroperitoneal lymphangioma in an adult, treated with complete surgical excision. CASE SUMMARY A 60-year-old female who was diagnosed with an intra-abdominal cystic mass (11 cm × 9.5 cm) seven years ago presented to our hospital with symptoms of early satiety, nausea, and intermittent abdominal pain. Computed tomography (CT) scan confirmed interval enlargement to a 24 cm × 22 cm-sized huge left retroperitoneal mass, causing left hydronephrosis by external compression. Laparotomy was done via long midline incision. Due to severe adhesion between the aorta and the medial border of the mass, the cyst was intentionally opened for fluid aspiration and size reduction. After suture closure of the opening, we proceeded carefully with dissection. Aspiration showed light yellowish serous fluid. The mass was excised completely, and the pathology was consistent with cystic lymphangioma. The post-operative period was uneventful, and the patient was discharged without complications. Follow-up CT scan one month after surgery confirmed complete removal of the mass and decreased left hydronephrosis. CONCLUSION Excision of the huge retroperitoneal cystic mass resulted in relief of the patient’s symptoms, originally caused by external compression, and also ruled out the possibility of malignancy.

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Clinical Aspects of Intraabdominal Cystic Lymphangioma in Korea

Cited by 5 publications

References 15 publications

Giant Mesenteric Cystic Lymphangioma Originating from the Lesser Omentum in the Abdominal Cavity

Giant Mesenteric Cystic Lymphangioma Originating from the Lesser Omentum in the Abdominal Cavity

A ruptured mesenteric lymphangioma causing peritonitis: a case report

Surgical excision of a large retroperitoneal lymphangioma: A case report

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