Sonographic findings in two cases of lymphangioma of the mesocolon in adults

Naganuma, Hiroko; Ishida, Hideaki; Komatsuda, Tomoya; Hakamada, Mayu; Sawada, Toshiya; Satoyoshi, Rika; Enomoto, Katsuhiko; Miyauchi, Takaharu

doi:10.1002/jcu.22488

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Tests in the laboratory are nonspecific but can be used to rule out malignant behavior of other etiology. Ultrasonography is of high diagnostic value in detecting mesenteric cystic lymphangioma (MCL) which usually exhibits a cystic mass accompanying multiple thin septations ( 13 , 29 ). Considering its ability to determine the anatomical relations of the lesion, which ultimately guided treatment options and surgical approaches, CT scans remain the best radiological tool for evaluating MCL (mesenteric and mesocolon).…”

Section: Discussionmentioning

confidence: 99%

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

Feng

Chen²,

Feng³

et al. 2022

Front. Oncol.

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IntroductionCystic lymphangioma is a benign malformation tumor of the lymphatic system. Its location is variable, and mesocolic localization remains extremely rare.Case presentationWe report a case of right mesocolon giant cystic lymphangioma in a previously healthy 14-year-old boy who was successfully managed through a minimally invasive laparoscopic excision. The patient presented with 8 months of dull abdominal pain, sporadic, located on the peri-umbilicus, exacerbated for a month. An abdominal computed tomography (CT) revealed a large, multiseptated cystic mass on the right mesocolon. Right mesocolic excision using a laparoscope was performed on this patient. He was discharged on the fifth day without complications. Recurrence was not detected in three months of follow-up.ConclusionCystic lymphangiomas in the mesocolon are rare benign neoplasms that pose diagnostic challenges. Complete resection is the optimal option for diagnostic confirmation and recurrence prevention. Laparoscopic surgery is feasible for children with mesocolic lymphangioma.

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Section: Discussionmentioning

confidence: 99%

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

Feng

Chen²,

Feng³

et al. 2022

Front. Oncol.

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“…Of all abdominal lymphangiomas, <1% involve the mesentery and 90% of these present symptomatically before the age of 1 7. If symptomatic, adult patients with abdominal lymphangiomas rarely present acutely, then non-specific symptoms (such as pain, fullness and distension)8 are more commonly insidious in nature. Acute symptoms are likely secondary to complications like rupture, haemorrhage, obstruction or infection 5.…”

Section: Introductionmentioning

confidence: 99%

Large mesenteric lymphangioma in an adult patient: an unusual presentation of a rare disease

et al. 2018

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Lymphangiomas are most commonly described as a small painless mass in the neck or a vesicular rash in an infant patient. Ninety per cent of cases are diagnosed before the age of 2. Treatment usually involves surgical resection. Intra-abdominal lymphangiomas and mesenteric lymphangiomas, as described in our case report, represent a rare pathology. The exact prevalence of this condition is unclear but it has been suggested in the literature that there have been as few as 820 cases since the 16th century. The clinical presentation is usually subacute and diagnosis made incidentally during a workup of chronic gastrointestinal symptoms. Acute abdominal symptoms, as in our case presentation, are unusual but may be explained by the mass effect of a large intra-abdominal lesion. Cross-sectional imaging is key in preoperative workup and operative planning. Complete surgical resection is recommended and curative in the majority of cases with a low risk of local recurrence.

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