Linfangiomatosis poliquística mesentérica. Una causa poco frecuente de abdomen agudo quirúrgico

Merino, A. Maqueda; Ramos, Jesús David; López, Jerónimo; Revilla, I. Angulo; Moreno, Amparo

doi:10.1016/j.anpedi.2013.10.041

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…Despite diverse differentials and the requirement for pathological examination, lymphangiomas often require radical intraoperative resection because of potential involvement of adjacent structures, risk of sarcoma transformation, or a 10%–15% chance of recurrence with incomplete resections. Post-complete surgical excision, the prognosis for lymphangiomas is generally favorable [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Interrelation of cancers of unknown primary, chylous ascites, and cavernous mesenteric lymphangioma in a 57-year-old female patient: a case report

AlHabil,

Dola,

Khader

2024

Journal of Surgical Case Reports

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Cancers of unknown primary (CUPs) pose diagnostic and therapeutic challenges because of their aggressive nature and elusive identification through conventional diagnostic means. This case report presents a unique finding in a 57-year-old female patient who, alongside her CUP, developed a cavernous mesenteric lymphangioma—a rare lymphatic malformation that is more commonly observed in pediatric populations. The interrelation between CUPs, chylous ascites, and lymphangiomas is explored, shedding light on this uncommon occurrence. Our patient’s journey began with a CUP diagnosis, marked by metastatic adenocarcinoma. Subsequent symptoms led to the discovery of a mesenteric lymphangioma. The case unfolds the patient’s diagnostic challenges, surgical interventions, and postoperative course. By highlighting the distinctive features of our case, we aim to contribute to the limited understanding of the interplay between lymphatic malformations and metastatic malignancies.

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Section: Discussionmentioning

confidence: 99%

Interrelation of cancers of unknown primary, chylous ascites, and cavernous mesenteric lymphangioma in a 57-year-old female patient: a case report

AlHabil,

Dola,

Khader

2024

Journal of Surgical Case Reports

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“…The differential diagnosis includes a wide range of cystic intraabdominal lesion ranging from abdominal lymphoma, secondary metastasis from an unknown primary, tuberculosis, hydatid disease, small bowel adenocarcinoma, to rare mesenteric tumors; including desmoid, schwannomas, smooth muscle tumors and sarcomas [ 3 , 4 ]. Images studies like echography or tomography may give clinical orientation, however, the final diagnostic is given by pathology [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Primary treatment of lymphangiomas is radical surgical excision even when asymptomatic for its potential to grow enormously to invade adjacent structures, develop complications and has a risk of sarcoma transformation on irradiation [ 5 ], incomplete resection usually leads to recurrence in ~10–15% [ 7 ], however, sometimes it can be challenging, even impossible, to respect the cyst completely due to adhesions with the surrounding structures [ 4 ]. In our case intraoperative decision making was straightforward.…”

Section: Discussionmentioning

confidence: 99%

Lymphangioma cavernous of the small bowel mesentery, an infrequent cause of acute abdomen in adult

Rojas

Molina²

2018

Journal of Surgical Case Reports

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Lymphangioma is a benign mass lesion characterized by numerous thin-walled lymphatic spaces that usually manifests in the first few years of life. They generally appear in the head, neck and axillary regions. Abdominal lymphangiomas have been reported however they are rare 5%. The small bowel mesentery lymphangioma has been described in <1%. Lymphangiomas may remain asymptomatic or present with complications depending on the size and location of the lesion. We present a case of a 71-year-old female, she presented to the emergency with acute abdomen and a palpable mass in the lower abdomen. Computed tomography confirmed a mass within the mesentery of the small bowel. Laparotomy was performed and a cystic mass near the root of the small bowel mesentery was found. Patient underwent full recovery. On follow-up controls, pathology described lymphangioma cavernous.

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Large mesenteric lymphangioma in an adult patient: an unusual presentation of a rare disease

et al. 2018

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Lymphangiomas are most commonly described as a small painless mass in the neck or a vesicular rash in an infant patient. Ninety per cent of cases are diagnosed before the age of 2. Treatment usually involves surgical resection. Intra-abdominal lymphangiomas and mesenteric lymphangiomas, as described in our case report, represent a rare pathology. The exact prevalence of this condition is unclear but it has been suggested in the literature that there have been as few as 820 cases since the 16th century. The clinical presentation is usually subacute and diagnosis made incidentally during a workup of chronic gastrointestinal symptoms. Acute abdominal symptoms, as in our case presentation, are unusual but may be explained by the mass effect of a large intra-abdominal lesion. Cross-sectional imaging is key in preoperative workup and operative planning. Complete surgical resection is recommended and curative in the majority of cases with a low risk of local recurrence.

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Linfangiomatosis poliquística mesentérica. Una causa poco frecuente de abdomen agudo quirúrgico

Cited by 3 publications

References 7 publications

Interrelation of cancers of unknown primary, chylous ascites, and cavernous mesenteric lymphangioma in a 57-year-old female patient: a case report

Interrelation of cancers of unknown primary, chylous ascites, and cavernous mesenteric lymphangioma in a 57-year-old female patient: a case report

Lymphangioma cavernous of the small bowel mesentery, an infrequent cause of acute abdomen in adult

Large mesenteric lymphangioma in an adult patient: an unusual presentation of a rare disease

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