Cystic lymphangioma of the lesser omentum in an adult patient

Czech version

Authors: M. Mišánik ¹; M. Smolár ¹; M. Grajciar ¹; J. Miklušica ¹; G. Mičurová ²
Authors‘ workplace: Klinika všeobecnej, viscerálnej a transplantačnej chirurgie, Univerzitná nemocnica Martin, Jesseniova lekárska, fakulta v Martine, Univerzita Komenského v Bratislave, Slovenská republika ¹; Neurochirurgická klinika, Univerzitná nemocnica Martin, Jesseniova lekárska fakulta v Martine, Univerzita, Komenského v Bratislave, Slovenská republika ²
Published in: Rozhl. Chir., 2024, roč. 103, č. 6, s. 224-227.
Category: Case Report
doi: https://doi.org/10.33699/PIS.2024.103.6.224–227

Overview

Introduction: Lymphangiomas belong to the group of benign vascular tumors that originate in the lymphatic tissue. Up to 90% of cases manifest in children before the second year of life. In adults, their presence is very rare. In most cases, they are located in the head, neck and axilla. Intra-abdominal lymphangiomas are very rare and represent less than 1% of all cases.

Case report: The authors present the case of a 64-year-old female patient diagnosed with an intra-abdominal cystic lesion following a routine examination. A CT scan of the abdomen confirmed a cystic lesion located in the lesser omentum between the left lobe of the liver and the lesser curvature of the stomach. The patient was scheduled for laparoscopic exstirpation of the lesion. Histological examination confirmed the clinical diagnosis of cystic lymphangioma of the lesser omentum.

Conclusion: The etiopathogenesis of lymphangiomas remains unclear. Despite the fact that they are benign tumors, lymphangiomas tend to have an infiltrative pattern of growth, invading surrounding structures. The majority of cases are asymptomatic and the diagnosis is incidental. The gold standard in treatment remains complete surgical extirpation with microscopically negative margins.

Keywords:

cystic lymphangioma – lesser omentum – intra-abdominal cysts – podoplanin

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doc. MUDr. Marek Smolár, Ph.D., MPH
Klinika všeobecnej, viscerálnej a transplantačnej chirurgie
Univerzitná nemocnica Martin Jesseniova lekárska fakulta v Martine,
Univerzita Komenského v Bratislave
e-mail: marek.smolar@uniba.sk
ORCID: 0000-0002-7381-5513

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Article was published in

Perspectives in Surgery

2024 Issue 6