Giant retroperitoneal lymphangioma in a 70-year-old male: a case report

Mabrouk, A. Ben; Ennaceur, Farouk; Karoui, Yasser; Nejma, Eya Ben; Jedidi, Laila; Moussa, Mounir Ben

doi:10.11604/pamj.2022.42.153.34175

Cited by 3 publications

(1 citation statement)

References 16 publications

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“…Finally, increased CRP titers have been reported in some lymphadenitis and lymphagioma types, but no evidence indicates that it is a direct biomarker of such conditions, or generally in lymphatic-related issues; thus, more studies are needed for the potential role of CRP in this field [ 292 , 293 , 294 , 295 , 296 ].…”

Section: Current Evidence On C-reactive Protein and Potential Conditionsmentioning

confidence: 99%

C-Reactive Protein: Pathophysiology, Diagnosis, False Test Results and a Novel Diagnostic Algorithm for Clinicians

Mouliou

2023

Diseases

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The current literature provides a body of evidence on C-Reactive Protein (CRP) and its potential role in inflammation. However, most pieces of evidence are sparse and controversial. This critical state-of-the-art monography provides all the crucial data on the potential biochemical properties of the protein, along with further evidence on its potential pathobiology, both for its pentameric and monomeric forms, including information for its ligands as well as the possible function of autoantibodies against the protein. Furthermore, the current evidence on its potential utility as a biomarker of various diseases is presented, of all cardiovascular, respiratory, hepatobiliary, gastrointestinal, pancreatic, renal, gynecological, andrological, dental, oral, otorhinolaryngological, ophthalmological, dermatological, musculoskeletal, neurological, mental, splenic, thyroid conditions, as well as infections, autoimmune-supposed conditions and neoplasms, including other possible factors that have been linked with elevated concentrations of that protein. Moreover, data on molecular diagnostics on CRP are discussed, and possible etiologies of false test results are highlighted. Additionally, this review evaluates all current pieces of evidence on CRP and systemic inflammation, and highlights future goals. Finally, a novel diagnostic algorithm to carefully assess the CRP level for a precise diagnosis of a medical condition is illustrated.

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Section: Current Evidence On C-reactive Protein and Potential Conditionsmentioning

confidence: 99%

C-Reactive Protein: Pathophysiology, Diagnosis, False Test Results and a Novel Diagnostic Algorithm for Clinicians

Mouliou

2023

Diseases

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Case report and literature review: Giant retroperitoneal cystic lymphangioma

Song

et al. 2023

Front. Surg.

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BackgroundCystic lymphangioma is a rare benign tumor of the lymphatic system, which is most commonly observed in the neck, head and armpit.Less than 5% of lymphangiomas occur in the abdominal cavity and even less in the retroperitoneum.Case descriptionA 65-year-old male patient was diagnosed with an “abdominal mass that had persisted for 1 year, accompanied by abdominal pain, abdominal distension and dyspnea for 7 days”. After abdominal computerd tomography, a giant multilobed abdominal lymphangioma was suspected, which squeezed the intestinal canal and was closely related to the inferior vena cava. The patient underwent an exploratory laparotomy, during which, it was found that the tumor formed extensive adhesions to the transverse colon, small intestine and pelvic wall, and enveloped the abdominal aorta, superior mesenteric artery, inferior mesenteric artery and inferior vena cava to varying degrees. It was diffcult to remove the cyst completely. Postoperative pathology confirmed the diagnosis of retroperitoneal cystic lymphangioma. The patient recovered well after the operation, was eating normally by 5 days postoperatively,and was discharged 10 days postoperatively.The patient was followed up 1 month after postoperatively and no evidence of recurrence was observed.ConclusionIn this case, we report a patient with giant retroperitoneal cystic lymphangioma who underwent exploratory laparotomy combined with preoperative abdominal computerd tomography and acute abdominal pain, abdominal distension and dyspnea. Because of the large volume of the tumor and its close relationship with the superior mesenteric artery and other blood vessels, the surgeon used scissors to separate the tumor sharply and removed the whole tumor completely.

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Child Abdominal Distension Due to a Massive Retroperitoneal Lymphangioma: A Cyto-Histopathological and Clinical Correlation

Morais,

Carvalho,

Carvalho

et al. 2024

Cureus

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Lymphangiomas are rare benign tumors that result from lymphatic vessel malformations and/or obstructions commonly on the neck and armpits, being rare in the retroperitoneal space. We report a case of a healthy 25-month-old male with a six-month history of abdominal distension and recurrent episodes of diarrhea who was clinically diagnosed with giardiasis. The complementary evaluation showed a cystic formation occupying the whole abdominal cavity and implanted at the abdominal retroactivity. The patient underwent videolaparoscopic surgery. At histopathological and histochemical examinations, the diagnosis of cystic lymphangioma was stated. The report presents a rare case of retroperitoneal lymphangioma, a condition that is frequently misdiagnosed due to its rarity.

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Giant retroperitoneal lymphangioma in a 70-year-old male: a case report

Cited by 3 publications

References 16 publications

C-Reactive Protein: Pathophysiology, Diagnosis, False Test Results and a Novel Diagnostic Algorithm for Clinicians

C-Reactive Protein: Pathophysiology, Diagnosis, False Test Results and a Novel Diagnostic Algorithm for Clinicians

Case report and literature review: Giant retroperitoneal cystic lymphangioma

Child Abdominal Distension Due to a Massive Retroperitoneal Lymphangioma: A Cyto-Histopathological and Clinical Correlation

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