Cystic lymphangioma of the lesser omentum in an adult patient
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
Sources
- Mahmoudi A, Rami M, Khattala K, et al. Huge omental lymphangioma with haemorrhage in children: case report. Pan Afr Med J. 2020 Jan 24;35:20. doi: 10.11604/ pamj.2020.35.20.8585.
- Rao TN, Parvathi T, Suvarchala A. Omental lymphangioma in adults-rare presentation report of a case. Case Rep Surg. 2012;2012: 629482. doi: 10.1155/2012/629482. Epub 2012 Nov 6.
- Agha RA, Franchi T, Sohrabi C, et al.; SCARE Group. The SCARE 2020 guideline: Updating consensus surgical case rport (SCARE) guidelines. Int J Surg. 2020 Dec;84:226–230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
- Kim JH, Ryu WS, Min BW, et al. Acquired omental cystic lymphangioma after subtotal gastrectomy: a case report. J Korean Med Sci. 2009 Dec;24(6):1212–1215. doi: 10.3346/jkms.2009.24.6.1212. Epub 2009 Nov 9.
- Kunimoto K, Yamamoto Y, Jinnin M. ISSVA Classification of vascular anomalies and molecular biology. Int J Mol Sci. 2022 Feb 21;23(4):2358. doi: 10.3390/ijms23042358.
- Tympa A, Grigoriadis C, Theodoraki K, et al. Abdominal cystic lymphangioma mimicking ovarian mass: A case report and literature review. Mol Clin Oncol. 2021 Feb;14(2):43. doi: 10.3892/mco.2020.2202. Epub 2020 Dec 30.
- Akashige T, Sato K, Odajima H, et al. A case report of recurrent intussusception caused by small bowel lymphangioma in an adult. Int J Surg Case Rep. 2020;75:126–130. doi: 10.1016/j.ijscr.2020.09.030. Epub 2020 Sep 11.
- Lepre L, Costa G, Baldini D, et al. Emergency presentation of cystic lymphangioma of the colon: A case report and literature review. Int J Surg Case Rep. 2016;24:162–165. doi: 10.1016/j.ijscr.2016.05.045. Epub 2016 May 27.
- Levy AD, Cantisani V, Miettinen M. Abdominal lymphangiomas: imaging features with pathologic correlation. AJR Am J Roentgenol. 2004 Jun;182(6):1485–1491. doi: 10.2214/ajr.182.6.1821485.
- Chen J, Du L, Wang DR. Experience in the diagnosis and treatment of mesenteric lymphangioma in adults: A case report and review of literature. World J Gastrointest Oncol. 2018 Dec 15;10(12):522–527. doi: 10.4251/wjgo.v10.i12.522
- Wu CH, Lu CH. Case report: Omental lymphangioma mimicking gastric cystic tumor. Radiol Case Rep. 2021 Nov 14;17(1):212–215. doi: 10.1016/j.radcr. 2021.10.027.
- Skach J, Chrenko M, Hromádka P. Retroperitoneální lymfangiom laparoskopické řešení. Rozhl Chir. 2014 Sep;93(9):475–478. Czech.
- Kang BH, Hur H, Joung YS, et al. Giant mesenteric cystic lymphangioma originating from the lesser omentum in the abdominal cavity. J Gastric Cancer. 2011 Dec;11(4):243–247. doi: 10.5230/ jgc.2011.11.4.243. Epub 2011 Dec 29.
- Tuan NA, Van Du N, Van Hiep P. Giant cystic lymphangioma of right mesocolon: A case report. Int J Surg Case Rep. 2021 Sep;86:106326. doi: 10.1016/j.ijscr.2021.106326. Epub 2021 Aug 19.
- Hamaguchi Y, Arita S, Sugimoto N, et al. Laparoscopic resection of abdominal cystic lymphangioma derived from lesser omentum: Case report. Medicine (Baltimore) 2020 Jan;99(1):e18641. doi: 10.1097/MD.0000000000018641.
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
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2024 Issue 6
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