Cystic lymphangioma with special reference to rare sites

Abstract

A 10 year retrospective study of 45 cases of cystic lymphangioma (CL) in children is presented. There were 25 females and 20 males. Age ranged from 6 months to 8 years. Common sites were involved in 38 and rare sites in 7 patients. Rare sites were--gluteal region (1), pelvis (1), retroperitoneum (1), mesentery (2), inguinal region (1) and inguinoscrotal region (1). The clinical presentation included sudden increase in size (25), lump abdomen (3), gluteal abscess (1), abdominal distension (1) and inguinal swelling (2). Diagnosis was established preoperatively in 38 cases, and after surgery and histopathology in 7 cases. Near total or subtotal excision was carried out in all cases. Facial nerve palsy (1) and recurrence (2) were the complications of surgery. The study is presented to highlight the occurrence of the cystic lymphangioma at rare sites to avoid diagnostic errors and unnecessary mutilating surgery.

Cystic lymphatic malformation of the pelvis mimicking seminal vesicle cysts

“…In a review of 45 cases of cystic lymphatic malformation, collected over 10 years in India involving 25 girls and 20 boys ages 6 months to 8 years, the neck was the site of occurrence in 22 cases. The mesentery, however, was reported as a rare site with 3 cases, of which only 1 case originated from sigmoid colon [2].…”

An Adult Patient with a Cystic Lymphangioma: Case Report

“…Our patient did not have any predisposing factors such as trauma and infection. Of the cystic lymphangiomas, 80% is noted in the neck, especially in the posterior region; they are observed lesser in the axillar, mediastinal, retroperitonial, and pelvic regions (5). They are usually asymptomatic, and symptoms may depend on the pressure of the mass.…”

Cyst of the Canal of Nuck in a Two Year Old Girl

“…The differential diagnosis for an inguinal mass in a female includes indirect hernia, lymphadenopathy, Cold abscess, Bartholin’s cyst, post-traumatic hematoma, rarely cystic lymphangioma, neuroblastoma metastasis in groin and ganglion (10, 11). …”