Cystic Lymphangioma of Hepatic Flexure of Colon*

Alvich, Joseph P.; Lepow, Harold

doi:10.1097/00000658-196011000-00016

Cited by 17 publications

(4 citation statements)

References 2 publications

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“…Early laparotomy is essential. Alvich and Lepow (1964) recommend that the loops of ileum which have prolapsed are divided inside the peritoneal cavity, and that they are then drawn through the rectum and out through the anal canal to avoid further contamination of the peritoneal cavity by non-viable bowel. However, recent cases (Henessey, 1966;Rowse, 1966) and the present case have shown that when the ileum is viable it can be safely preserved by reintroducing it into the peritoneal cavity after cleansing.…”

Section: Discussionmentioning

confidence: 99%

Bowel herniation through a defect of the broad ligament

Cleator

Bowden

1972

Journal of British Surgery

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Section: Discussionmentioning

confidence: 99%

Bowel herniation through a defect of the broad ligament

Cleator

Bowden

1972

Journal of British Surgery

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“…Other causes that have been proposed include abdominal trauma, localized lymphatic degeneration, and lymphatic obstruction. Some authors have postulated that lymphangiomas are not true neoplasms but hamartomas [ 7 , 8 ]. It has been shown that these lesions do not predispose patients to malignancy.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic resection of a lymphangiomatous cyst of the colon: a case report

et al. 2011

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IntroductionLymphangiomatous cysts are submucosal masses that are rarely found in the gastrointestinal tract and more often in the neck, oral cavity, and skin. These cysts are benign tumors and mostly clinically silent. Symptoms include abdominal pain, diarrhea, and rectal bleeding. Their pathogenesis remains unclear.Case presentationDuring a routine ultrasound examination of a Caucasian 25-year-old woman, a structure that raised our suspicions of an ovarian cyst was found. MRI showed a 4.5 cm cystic lesion in the cecal region. Laparoscopic exploration revealed unexpected contact with the ascending colon. The cyst, including its base and of portion of the colon, was resected laparoscopically. The histological examination revealed cystic lymphangioma.ConclusionLymphangiomatous cysts of the colon are very rare lesions. Although their pathology is benign, the recommended treatment is resection, which can be performed with minimal invasiveness.

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“…To date there have been six cases of lymphatic cysts of the colon documented; one was found in the ascending colon (Arnett and Friedman, 1956), one in the hepatic flexure (Alvich and Lepow, 1960), three in the transverse colon (Koenig, Claudon, and Byrne, 1955;Higgason, 1958;Greene, Kirshen, and Greene, 1962), and one in the descending colon (Fleming and Carlson, 1970).…”

Section: Discussionmentioning

confidence: 99%

Lymphatic cysts of the colon

Girdwood¹,

Philp²

1971

Gut

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SUMMARY A patient with a lymphatic cyst of the descending colon is reported. He underwent segmental resection of the colon. The clinical features, pathology, radiology, and treatment of these lesions are reviewed. It is emphasized that these cysts are very rare and cannot be diagnosed radiologically, but must be included in the differential diagnosis of polypoid lesions of the colon.Lymphatic cysts (cystic lymphangiomata, lymphangiomatous, lymphangiectatic, or chylous cysts) of the abdomen are rare and can occurinthemesentery, omentum, retroperitoneum, and very occasionally in the wall of the stomach, duodenum, and the small or large intestine.The extreme rarity of the lesion and the interesting radiological appearances and differential diagnosis warrant the report of a case and a brief review of the literature. Case ReportA 65-year-old man reported a three-month history of left-sided abdominal colic and melaena. He had a normal bowel habit and there was no vomiting.On examination there was guarding and tenderness in the central abdomen and left hypochondrium. No mass could be palpated.Rectal and sigmoidoscopic examinations were negative. Double-contrast barium enema study demonstrated a large, smoothly outlined and well circumscribed polypoidal lesion with a broad base on the medial wall of the descending colon ( Figs. 1 and 2). There was diverticular disease of the sigmoid colon.At laparotomy the polypoidal mass was palpated in the upper third of the descending colon, but suddenly disappeared. (Subsequently, this was found to be due to rupture and emptying of the cyst during palpation.) A segmental resection was undertaken. The resected colon was opened and a large redundant fold of mucosa was found which was clearly all that remained of a ruptured cyst. The lesion was inflated with water and a photograph taken (Fig. 3).Received for publication 26 June 1971. PathologyThe inflated specimen was thin walled and measured 2.5 cm in diameter.Histology revealed a large unilocular submucosal cyst lined with flattened endothelium and the appearances were in keeping with those of a lymphatic cyst. There was no evidence of malignant change. DiscussionLymphatic cysts of the gut are extremely rare entities. A review of these cysts at the Mayo Clinic over a 36-year period revealed nine cases; six of these were found in the mesentery, two in the retroperitoneum, and one was of undetermined origin. No mural cysts of the alimentary tract were reported (Beahrs, Judd, and Dockerty, 1950).

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Cystic Lymphangioma of Hepatic Flexure of Colon*

Cited by 17 publications

References 2 publications

Bowel herniation through a defect of the broad ligament

Bowel herniation through a defect of the broad ligament

Laparoscopic resection of a lymphangiomatous cyst of the colon: a case report

Lymphatic cysts of the colon

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