A case of retroperitoneal lymphangioma in an adult

Trinh, Cong Thao; Tran, Nhu Tung; Vo, Bich Thuy Thi; Van, Hoang Anh Thi; Hoang, Van Trung; Duc, Nguyen Minh

doi:10.1016/j.ehpc.2021.200511

Cited by 3 publications

(6 citation statements)

References 12 publications

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“…Cystic lymphangiomas are typically diagnosed before the age of 2 years in more than 90% of cases. 8 They do not communicate with the normal lymphatic network, 9 except in a few reported cases in the retroperitoneum 10,11 and contain clear lymph or chylous fluid. Lymphangiomas are histologically classified into three types, but the cystic type is of particular interest and is classified according to several parameters, including the lymphatic space of the tumor.…”

Section: Clinical Discussionmentioning

confidence: 98%

Rare case of inguinal cystic lymphangioma diagnosed and treated in elderly patient

Koubbach,

Rabii,

El Houry

et al. 2023

SAGE Open Medical Case Reports

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Cystic lymphangioma develops due to the interruption of lymphatic-venous connections during embryogenesis, leading to the formation of a cystic lesion containing lymph. These lesions fall under the ISSVA classification of vascular malformations. The first documented case dates back to 1828, with further elucidation provided by Sabin in 1909 and 1919. Cervicofacial region is the most common site, often showing early-stage symptoms. Inguinal location is rare, but if complications arise, it may present as a strangulated inguinal hernia. The tumor’s severity lies in its compression and invasion of the aerodigestive tract and adjacent organs. Diagnosis relies on imaging techniques such as ultrasound and computed tomography, which help determine the mass’s nature, boundaries, and relationship with neighboring structures. Asymptomatic lesions are generally monitored, while symptomatic ones require complete surgical excision to minimize the risk of recurrence. At Cheikh Khalifa University Hospital, we present a case highlighting our urology department’s experience in diagnosis, patient care, and surgical treatment.

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Section: Clinical Discussionmentioning

confidence: 98%

Rare case of inguinal cystic lymphangioma diagnosed and treated in elderly patient

Koubbach,

Rabii,

El Houry

et al. 2023

SAGE Open Medical Case Reports

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“…Lymphatic malformations are characterized by lymphatic vessel proliferation with resulting cystic structures due to interruption of lymphatic flow [ 6 ]. While the etiology of lymphatic malformations remains a discussed topic, two primary hypotheses have been identified.…”

Section: Discussionmentioning

confidence: 99%

“…Large cystic tumors in the retroperitoneum account for a wide list of differential diagnoses, including both benign and malignant lesions. Malignant lesions include germ cell tumors, undifferentiated sarcoma, necrotic neoplasms, cystic metastases, and malignant mesenchymoma, with benign lesions including pancreatic adenoma and pseudocysts, urothelial and foregut cysts, duplication cysts, and other masses such as retroperitoneal abscesses and hematomas [ 4 , 6 , 8 ]. In this patient's presentation, ascites may have been considered as part of the initial differential workup based on the initial CT abdominal free-fluid findings.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The appearance of lymphatic malformation on ultrasound presents as a well-defined, thin-walled, multilocular, anechoic cystic mass [ 6 ]. On CT imaging, lymphatic malformation typically presents as a homogeneous cystic mass that may have observable septal deviations, but can also present as a heterogeneous mass in the presence of blood, fat, or protein products [ 6 ]. Following intravenous contrast enhancement, lymphatic malformation may present a mild enhancement of the wall and septations on CT. MRI presentation of lymphatic malformation relies on the presence of internal products, such as blood, fat, and protein, but will typically have a homogeneous appearance with increased T2 signal intensity.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Recurrent Retroperitoneal Lymphatic Malformation in a Pediatric Patient: A Case Report

Ciubuc¹,

Morgan²,

Murray³

et al. 2022

Cureus

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Retroperitoneal lymphatic malformations are rare, benign, cystic tumors of the lymphatic system, accounting for 1% of all lymphatic malformation manifestations. Lymphatic malformations are often asymptomatic, but may clinically present with abdominal pain and a palpable mass. Initial diagnostic workup is challenging due to the difficulty of differentiating from masses that may arise from the pancreas, liver, and kidney. This report describes a recurrent retroperitoneal lymphatic malformation in a 15-year-old male. The patient presented with abdominal pain and radiological imaging demonstrated abdominal fluid collection. Following conservative management using aspiration, the patient presented three months later with recurrent abdominal pain. Radiological imaging identified a large thin-walled cystic lesion in the right hemiabdomen containing minimal thin internal septations. Histological analysis confirmed the lymphatic malformation following computed tomography-guided biopsy. The patient underwent aspiration and was referred for outpatient sclerotherapy to prevent future abdominal fluid collection. This case highlights conservative management of recurrent retroperitoneal lymphatic malformation, both on the initial and subsequent presentation.

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Large retroperitoneal lymphangioma

Chiang,

Woo,

et al. 2024

BMJ Case Rep

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Abnormal cystic lymphangioma is a rare, benign tumour of lymphatic origin that often presents with subtle clinical symptoms. A man in his 20s sought medical attention for a progressively tender mass located in the right lower quadrant. Following ultrasound and CT imaging, surgical pathology confirmed the presence of abnormal cystic lymphangioma. This case is noteworthy because of the patient’s young age and the retroperitoneal location. An exploratory laparotomy was performed, mitigating the risk of recurrence. In the future, if imaging identifies a cystic mass, consideration of abnormal cystic lymphangioma within the differential diagnosis is imperative. Despite its predominantly subtle symptoms and non-malignant nature, the mass effect by the abnormal cystic lymphangioma can compromise surrounding structures. Overall, clinicians confronted with a cystic mass should adopt a comprehensive diagnostic approach, encompassing abnormal cystic lymphangioma in the differential diagnosis due to its unknown and complex nature.

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A case of retroperitoneal lymphangioma in an adult

Cited by 3 publications

References 12 publications

Rare case of inguinal cystic lymphangioma diagnosed and treated in elderly patient

Rare case of inguinal cystic lymphangioma diagnosed and treated in elderly patient

Recurrent Retroperitoneal Lymphatic Malformation in a Pediatric Patient: A Case Report

Large retroperitoneal lymphangioma

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