Linfangioma quístico. Nuestra experiencia

Fàbregas, M. Arzoz; Servio, L.l. Ibarz; Calama, J. Areal; Satue, C. González; Domínguez, José; Roig, J.M. Saladié

doi:10.1016/s0210-4806(06)73525-2

Cited by 14 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the early embryonic stage, the peritoneum of the lower abdomen in males forms a protrusion (processus vaginalis) towards the inguinal region and extends along the inguinal canal to the bottom of the scrotum. If the processus vaginalis is not closed, a lymphangioma in the abdominal cavity can reach the scrotum through the inguinal canal, and is thus often misdiagnosed as an indirect inguinal hernia, hydrocele, testicle torsion, or varicocele [18]. Painless scrotal masses are usually benign, but a few are malignant, such as sarcomas [13].…”

Section: Discussionmentioning

confidence: 99%

Misdiagnosis of scrotal and retroperitoneal lymphangioma in children

Wu,

Mo,

Tan

et al. 2023

BMC Pediatr

View full text Add to dashboard Cite

Background Scrotal and retroperitoneal lymphangioma (SRL) in children is relatively rare and its clinical symptoms are usually difficult to distinguish from other conditions such as hydrocele and incarcerated inguinal oblique hernia. This study aimed to explore the clinical diagnosis and treatment of abdominal scrotal lymphangioma in children, and thus, to increase our understandings of this disease in clinical practice. Method This study enrolled nine boys, aged 1–10, who were admitted to Shanghai Children’s Hospital from January 2019 to December 2020 and who were finally confirmed with lymphangioma in the inguinal area. The clinical manifestations, diagnosis, and treatment of these children were analyzed retrospectively. The length of diagnostic process ranged from 3 weeks to 20 months. We also reviewed other cases of initially misdiagnosed cases of SRL in English publications from 2000 to 2022. Results The nine cases were misdiagnosed as hydrocele, hematoma, or inguinal hernia. Three patients received intracystic injection of bleomycin, three underwent laparoscopic mass resection, and three underwent resection of the inguinal lymphangioma under direct vision. Postoperative pathological analysis of the surgical specimens confirmed the diagnosis of benign cystic lesions and lymphangioma. Meanwhile, among the 14 cases of SRL in literature review, eight were misdiagnosed. Six were initially diagnosed as hydrocele, one as inguinal oblique hernia, and one as testicular tumor, all of which underwent ultrasonography scans. All cases were confirmed as lymphangioma after pathological examination. Conclusion The non-specific clinical manifestations may contribute to the misdiagnosis of scrotal masses in children. A detailed and accurate medical history, careful physical examination, and imaging findings are important factors contributing to the preoperative differential diagnosis of scrotal lumps in children, but the final diagnosis is based on pathological examination.

show abstract

Section: Discussionmentioning

confidence: 99%

Misdiagnosis of scrotal and retroperitoneal lymphangioma in children

Wu,

Mo,

Tan

et al. 2023

BMC Pediatr

View full text Add to dashboard Cite

show abstract

“…Bowel obstruction may appear secondary to tumoural compression of the bowel loops. Bleeding or infection of the cyst may cause an acute abdomen 1,3 …”

mentioning

confidence: 99%

“…Treatment consists of complete excision of the lesion. The outcome of resected retroperitoneal lymphangiomas is excellent, when incomplete resections, recurrence is feasible 1,3,4 …”

mentioning

confidence: 99%

Cystic retroperitoneal lymphangioma

Ruíz-Tóvar¹,

Ripalda

Beni³

et al. 2010

ANZ Journal of Surgery

View full text Add to dashboard Cite

Laparoscopic excision of an adult retroperitoneal cystic lymphangioma coexisting with an esophageal hiatus hernia

Izumi

Toyama

Shigaki

et al. 2015

Clin J Gastroenterol

View full text Add to dashboard Cite

Lymphangiomas are rare cystic tumors that may be present in the retroperitoneum. Retroperitoneal lymphangiomas account for approximately 1% of all lymphangiomas. We experienced an adult patient with a retroperitoneal cystic lymphangioma coexisting with an esophageal hiatus hernia. Abdominal ultrasonography showed a cyst in the abdomen of a 76-year-old woman. She was admitted to our clinic because of an enlargement of the cyst and epigastric pain after meals. She had a long history of heartburn after meals and had not undergone any treatment. She had no record of previous illnesses. Computed tomography revealed a single bunch cystic tumor with septations, located from the mediastinum to the retroperitoneal space. The tumor was not enhanced, and there was no solid part. She was diagnosed with a retroperitoneal cyst. Laparoscopic total excision was performed because the cyst was increasing in size and the patient had symptoms. The cyst was successfully removed. Although laparoscopic excision of retroperitoneal cystic lymphangiomas is the treatment of choice, surgical methods should be carefully chosen in selected patients.

show abstract

Linfangioma quístico. Nuestra experiencia

Cited by 14 publications

References 9 publications

Misdiagnosis of scrotal and retroperitoneal lymphangioma in children

Misdiagnosis of scrotal and retroperitoneal lymphangioma in children

Cystic retroperitoneal lymphangioma

Laparoscopic excision of an adult retroperitoneal cystic lymphangioma coexisting with an esophageal hiatus hernia

Contact Info

Product

Resources

About