Giant cystic lymphangioma of right mesocolon: A case report

Abstract

Introduction Cystic lymphangiomas are rare benign tumors of the lymph vessels and are usually found in children. However, abdominal cystic lymphangioma in mesocolon is extremely rare in adult patients. Presentation of case We reported a 15-year-old female with giant cystic lymphangioma of the right mesocolon. On examination, only abdominal pain was confirmed. Abdominal computed tomography (CT) showed a large multiseptated cystic mass. The patient underwent a total right mesocolic excision with the lesion. The patient recovered well on postoperative follow-up and was discharged on the fifth day. No evidence of recurrence had also been found in three months follow-up period. Discussion The diagnosis of intra-abdominal cystic lymphoma is often dismissed because the clinical symptoms are nonspecific. It is easy confusion because the ultrasound and CT scan images are relatively similar to the mesenteric and omental cysts. Sclerosing therapies may cause long-term consequences such as local recurrences with a very high proportion. Complete resection, including resection of the involved organs, is necessary. With tumors surrounding the colon, surgeons should consider performing removal block colon-lesion. Conclusion Complete tumor removal is the optimal choice for the management of intra-abdominal cystic lymphangioma. However, incomplete resection may lead to local recurrence.

Case report: A mesocolic lymphangioma in a 14-year-old child resected by laparoscopic surgery

“…presence of an extensive lymphatic system. Fewer than 5% of lymphangiomas originate in the abdominal cavity, with the most common site being the small bowel mesentery and there are only 22 detailed reports of mesocolic lymphangiomas in the English literature (3,5,6,(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28). A summary of the characteristics for all included reports is presented in Table 2 Our study reports a case of mesocolic lymphangioma in a 14-year-old child and conducts a literature review.…”

“…A variety of SAs has been tested, including ethanol, sodium tetradecyl sulfate, and doxycycline; among them, bleomycin and picibanil (OK-432) are the most extensively utilized and studied. However, the long-term consequences of sclerotherapy are controversial ( 5 , 32 ). Also, it has proven to be not very effective for microcystic disease ( 33 ).…”

“…Most are located in the head-neck region(75%), and axilla(20%), while rarely arise in the abdomen ( 3 ). Abdominal cystic lymphangiomas (ACLs) constitute less than 5% of all cystic lymphangiomas ( 4 ), with the most common location in the mesentery and retroperitoneum and exceptionally rare in the mesocolon ( 5 ).…”

A rare case of huge intra-abdominal cystic lymphangioma arising from rectovesical pouch; a case report

“…The clinical presentation of cystic lymphangioma is not clear; the real burden of the disease in adults is always underestimated because of the atypical clinical presentation or due to a lack of recognition of the disease [3] . It is usually misdiagnosed as other cystic intra-abdominal tumors like a pancreatic pseudocyst, ovarian cyst, renal cyst, mesenteric cyst, or others based on their location [4] . Even if the abdomen is an uncommon site for lymphangioma, they often are giant lymphangiomas because the available space permits growth with minimal symptoms [5] .…”