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Case report and literature review: Giant retroperitoneal cystic lymphangioma

BACKGROUND: Cystic lymphangioma is a rare benign tumor of the lymphatic system, which is most commonly observed in the neck, head and armpit.Less than 5% of lymphangiomas occur in the abdominal cavity and even less in the retroperitoneum. CASE DESCRIPTION: A 65-year-old male patient was diagnosed wi...

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Autores principales: Su, Tieshan, Li, Chaoyuan, Song, Bin, Song, Defeng, Feng, Ye
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9887134/
https://www.ncbi.nlm.nih.gov/pubmed/36733888
http://dx.doi.org/10.3389/fsurg.2023.1074067
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author Su, Tieshan
Li, Chaoyuan
Song, Bin
Song, Defeng
Feng, Ye
author_facet Su, Tieshan
Li, Chaoyuan
Song, Bin
Song, Defeng
Feng, Ye
author_sort Su, Tieshan
collection PubMed
description BACKGROUND: Cystic lymphangioma is a rare benign tumor of the lymphatic system, which is most commonly observed in the neck, head and armpit.Less than 5% of lymphangiomas occur in the abdominal cavity and even less in the retroperitoneum. CASE DESCRIPTION: A 65-year-old male patient was diagnosed with an “abdominal mass that had persisted for 1 year, accompanied by abdominal pain, abdominal distension and dyspnea for 7 days”. After abdominal computerd tomography, a giant multilobed abdominal lymphangioma was suspected, which squeezed the intestinal canal and was closely related to the inferior vena cava. The patient underwent an exploratory laparotomy, during which, it was found that the tumor formed extensive adhesions to the transverse colon, small intestine and pelvic wall, and enveloped the abdominal aorta, superior mesenteric artery, inferior mesenteric artery and inferior vena cava to varying degrees. It was diffcult to remove the cyst completely. Postoperative pathology confirmed the diagnosis of retroperitoneal cystic lymphangioma. The patient recovered well after the operation, was eating normally by 5 days postoperatively,and was discharged 10 days postoperatively.The patient was followed up 1 month after postoperatively and no evidence of recurrence was observed. CONCLUSION: In this case, we report a patient with giant retroperitoneal cystic lymphangioma who underwent exploratory laparotomy combined with preoperative abdominal computerd tomography and acute abdominal pain, abdominal distension and dyspnea. Because of the large volume of the tumor and its close relationship with the superior mesenteric artery and other blood vessels, the surgeon used scissors to separate the tumor sharply and removed the whole tumor completely.
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spelling pubmed-98871342023-02-01 Case report and literature review: Giant retroperitoneal cystic lymphangioma Su, Tieshan Li, Chaoyuan Song, Bin Song, Defeng Feng, Ye Front Surg Surgery BACKGROUND: Cystic lymphangioma is a rare benign tumor of the lymphatic system, which is most commonly observed in the neck, head and armpit.Less than 5% of lymphangiomas occur in the abdominal cavity and even less in the retroperitoneum. CASE DESCRIPTION: A 65-year-old male patient was diagnosed with an “abdominal mass that had persisted for 1 year, accompanied by abdominal pain, abdominal distension and dyspnea for 7 days”. After abdominal computerd tomography, a giant multilobed abdominal lymphangioma was suspected, which squeezed the intestinal canal and was closely related to the inferior vena cava. The patient underwent an exploratory laparotomy, during which, it was found that the tumor formed extensive adhesions to the transverse colon, small intestine and pelvic wall, and enveloped the abdominal aorta, superior mesenteric artery, inferior mesenteric artery and inferior vena cava to varying degrees. It was diffcult to remove the cyst completely. Postoperative pathology confirmed the diagnosis of retroperitoneal cystic lymphangioma. The patient recovered well after the operation, was eating normally by 5 days postoperatively,and was discharged 10 days postoperatively.The patient was followed up 1 month after postoperatively and no evidence of recurrence was observed. CONCLUSION: In this case, we report a patient with giant retroperitoneal cystic lymphangioma who underwent exploratory laparotomy combined with preoperative abdominal computerd tomography and acute abdominal pain, abdominal distension and dyspnea. Because of the large volume of the tumor and its close relationship with the superior mesenteric artery and other blood vessels, the surgeon used scissors to separate the tumor sharply and removed the whole tumor completely. Frontiers Media S.A. 2023-01-17 /pmc/articles/PMC9887134/ /pubmed/36733888 http://dx.doi.org/10.3389/fsurg.2023.1074067 Text en © 2023 Su, Li, Song, Song and Feng. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Su, Tieshan
Li, Chaoyuan
Song, Bin
Song, Defeng
Feng, Ye
Case report and literature review: Giant retroperitoneal cystic lymphangioma
title Case report and literature review: Giant retroperitoneal cystic lymphangioma
title_full Case report and literature review: Giant retroperitoneal cystic lymphangioma
title_fullStr Case report and literature review: Giant retroperitoneal cystic lymphangioma
title_full_unstemmed Case report and literature review: Giant retroperitoneal cystic lymphangioma
title_short Case report and literature review: Giant retroperitoneal cystic lymphangioma
title_sort case report and literature review: giant retroperitoneal cystic lymphangioma
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9887134/
https://www.ncbi.nlm.nih.gov/pubmed/36733888
http://dx.doi.org/10.3389/fsurg.2023.1074067
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