Rare case of ovarian cystic lymphangioma managed at laparoscopy

Abstract

Lymphangiomas are rare, usually benign tumors of the lymphatic system. Lymphangiomas may arise in any part of the body. Lymphangioma of the ovary is very rare tumor, which is usually slow-growing, remains asymptomatic for a long time, and identified incidentally at histopathological examination after excision. It is advisable to excise the lesion with microscopically clear margins. Many times, diagnosis becomes difficult because of confusion with malignant ovarian mass, especially in post-menopausal woman. A 72-year-old post-menopausal woman had a symptomatic pelvic mass. Imaging studies demonstrated a complex right ovarian cyst. Laparoscopic total hysterectomy with bilateral salpingo-oophorectomy was performed successfully. Cystic Lymphangioma should be included in the differential diagnosis of an ovarian cystic mass, and laparoscopic excision may be the method of treatment.

Lymphangioma of ovary: A case report

“…The cause of acquired lymphangiectasia leading to lymphangioma in adults could be due to proliferation of lymphoid nests after inflammation, genetic predisposition, degeneration of lymphnodes, end result of mechanical pressure, trauma, radiation therapy or disorders of lymphatic vasculature. 5 These etiologies were identified as precipitating factors in various case study while analysing the literature review. In a case study, the lymphatic drainage disorder was the cause of ovarian lymphangioma who had chronic follicular salpingitis.…”

Isolated unilateral ovarian cystic lymphangioma: A case report

“…Spontaneous regression of the cyst is a rare occurrence, and due to the risk of recurrence, surgical intervention becomes necessary [ 10 ]. The preferred method is simple total excision.…”

Ovarian Cystic Lymphangioma

“…Lymphangioma may occur at any location within the body. In young children, they mostly occur in the axilla, neck, and scalp region, whereas in adults, intra-abdominal location is predominant [ 1 ]. According to the size of lymphatic vessels, lymphoma can be categorized as cavernous, cystic and capillary and are filled with either chylous or serous fluid [ 2 ].…”