Lymphangioma of the transverse colon

Greene, Earle I.; Kirshen, Martin M.; Greene, J.Major

doi:10.1016/0002-9610(62)90254-4

Cited by 27 publications

(3 citation statements)

References 11 publications

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“…Clinical presentation depends on location, and thus intestinal obstruction may be caused, with peritonitis and even perforation and hemorrhaging (1 1). Presentation as a painless abdominal mass is not unusual (9). Location in Vater's ampulla, such as occurred in our case, is a really exceptional finding.…”

Section: Lymphangioma Of Vaters Ampullamentioning

confidence: 69%

Lymphangioma of Vater's Ampulla: A Rare Cause of Obstructive Jaundice: Endoscopic Therapy

Artaza

Potenciano

Legaz

et al. 1995

Scandinavian Journal of Gastroenterology

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Section: Lymphangioma Of Vaters Ampullamentioning

confidence: 69%

Lymphangioma of Vater's Ampulla: A Rare Cause of Obstructive Jaundice: Endoscopic Therapy

Artaza

Potenciano

Legaz

et al. 1995

Scandinavian Journal of Gastroenterology

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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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“…Mesenteriale zystische Lymphangiome können mit abdominalen Beschwerden [15] oder als langsam wachsende schmerzlose abdominale Tumoren auffällig werden. Die Symptome sind uncharakteristisch.…”

Section: Klinikunclassified

Abdominales zystisches Lymphangiom acht Jahre nach Leistenhernienoperation

Müller¹,

Grabs²,

Senkal³

2001

Visc Med

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Abdominal Cystic Lymphangioma Eight Years After Inguinal Herniotomy Intra-abdominal cystic lymphangioma, accounting for approximately 5% of all cystic lymphangiomas, are mainly congenital in origin. Hence, they are usually diagnosed during the first 2 decades of life – in contrast to mesenteric cysts. In adults, cystic lymphangiomas resulting from malformed and inadequately draining lymphatic channels are rare. We report the case of a 73-years-old male patient in whom a cystic, fluid-filled right epigastric tumour of approximately 10 cm in diameter was diagnosed on routine examination. The past medical history included a bilateral inguinal herniotomy 8 years ago. During the recent operation the cystic tumour was resected from the mesentery of the right colonic flexure without complications. Histopathological examination revealed a cystic lymphangioma with small calcified foci. The facts that the lymphangioma was diagnosed for the first time at the age of 73 years and that it had not been detected at the time of the herniotomy 8 years previously, leave a link between this cystic lymphangioma and the herniotomy subject to discussion.

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Lymphangioma of the transverse colon

Cited by 27 publications

References 11 publications

Lymphangioma of Vater's Ampulla: A Rare Cause of Obstructive Jaundice: Endoscopic Therapy

Lymphangioma of Vater's Ampulla: A Rare Cause of Obstructive Jaundice: Endoscopic Therapy

Lymphatic cysts of the colon

Abdominales zystisches Lymphangiom acht Jahre nach Leistenhernienoperation

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