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Kamel H, Ben Ammar C, Tbini M, Ben Salah M. Cervical Cystic Lymphangioma in Young Adults: A Case Report and Literature Review. EAR, NOSE & THROAT JOURNAL 2024:1455613241272486. [PMID: 39219212 DOI: 10.1177/01455613241272486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2024] Open
Abstract
Cystic lymphangioma is a rare benign congenital malformation of the lymphatic system. It usually presents in childhood and rarely in young adults. Its management lacks consensus, and its prognosis varies depending on the location. We report a case of cervical cystic lymphangioma in a young adult with chronic left lateral cervical swelling. Examination revealed a high jugulocarotid swelling, non-pulsatile, and transilluminable. Radiographic exploration suggested a cystic lymphangioma. Histopathology confirmed the diagnosis. The patient underwent a sclerotherapy session, followed by surgical excision. Our case illustrates a rare presentation of cervical cystic lymphangioma in a young adult and aims to increase awareness of this rare entity and provide literature insights into its diagnosis and treatment in adult patients.
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Affiliation(s)
- Houssem Kamel
- ENT Department, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Chaima Ben Ammar
- ENT Department, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Makram Tbini
- ENT Department, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Mamia Ben Salah
- ENT Department, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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Mhand M, Rhoul C, Bouhout T, Serji B. Cystic Lymphangioma of the Mesentery in an Adult: A Case Report and Literature Review. Cureus 2024; 16:e63412. [PMID: 39070310 PMCID: PMC11283881 DOI: 10.7759/cureus.63412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/28/2024] [Indexed: 07/30/2024] Open
Abstract
Lymphangiomas are rare benign cystic tumors. Surgical excision is the primary treatment, aiming for complete removal. Diagnosis relies on imaging and histological confirmation. Malignant transformation is exceptionally rare. We report a 25-year-old man admitted for peri-umbilical abdominal pain and an abdominal mass. Imaging revealed multilocular peritoneal cystic formations with infiltration of adjacent mesenteric fat. Laboratory findings were unremarkable, and exploratory laparotomy was performed. A voluminous cystic mass originating from the mesentery was discovered, requiring intestinal sacrifice for complete resection. Immediate postoperative recovery was smooth. Pathological analysis confirmed the diagnosis of mesenteric cystic lymphangioma. The patient had a favorable outcome with no tumor recurrence at a three-year follow-up. We emphasize the significance of complete surgical removal to prevent complications associated with cystic lymphangioma and reduce the risk of recurrence.
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Affiliation(s)
- Mohammed Mhand
- Department of Surgical Oncology, Mohammed VI University Hospital, Regional Oncology Center, Faculty of Medicine and Pharmacy of Oujda, Oujda, MAR
| | - Chafik Rhoul
- Department of Surgical Oncology, Mohammed VI University Hospital, Regional Oncology Center, Faculty of Medicine and Pharmacy of Oujda, Oujda, MAR
| | - Tariq Bouhout
- Department of Surgical Oncology, Mohammed VI University Hospital, Regional Oncology Center, Faculty of Medicine and Pharmacy of Oujda, Oujda, MAR
| | - Badr Serji
- Department of Surgical Oncology, Mohammed VI University Hospital, Regional Oncology Center, Faculty of Medicine and Pharmacy of Oujda, Oujda, MAR
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Kharkhach A, Rhoul C, Police A, Mabilia A. A ruptured mesenteric lymphangioma causing peritonitis: a case report. J Surg Case Rep 2024; 2024:rjae319. [PMID: 38764732 PMCID: PMC11102783 DOI: 10.1093/jscr/rjae319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2024] [Accepted: 04/27/2024] [Indexed: 05/21/2024] Open
Abstract
Cystic lymphangioma is a rare disease that is mainly diagnosed in childhood. When diagnosed, the lesion presents an indication for surgery due to the risk of serious complications. Herein, we report the case of a 32-year-old patient who presented to the emergency room for abdominal pain that developed 2 days before with worsening symptoms and abdominal pain in the last 24 hr. The computed tomography showed diffuse wall thickening of the jejunum and proximal ileum with mesenteric fat infiltration, a mesenteric collection, and a moderate volume of ascites extending into the pelvis. A laparotomy was performed, revealing diffuse chemical peritonitis with a crater-like lesion in the jejunal mesentery, secreting lymphatic fluid. The mesenteric lesion was then excised, and the histological examination showed a ruptured cystic lymphangioma. Lymphangiomas of the small bowel mesentery are rare and may be exceptionally associated with bowel occlusion or peritonitis.
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Affiliation(s)
- Ayoub Kharkhach
- Department of General Surgery, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda 60000, Morocco
- Department of Visceral and Digestive Surgery, Simone Veil Hospital, Eaubonne 95600, France
| | - Chafik Rhoul
- Department of General Surgery, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda 60000, Morocco
- Department of Visceral and Digestive Surgery, Simone Veil Hospital, Eaubonne 95600, France
| | - Andrea Police
- Department of Visceral and Digestive Surgery, Simone Veil Hospital, Eaubonne 95600, France
| | - Andrea Mabilia
- Department of Visceral and Digestive Surgery, Simone Veil Hospital, Eaubonne 95600, France
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Hardy KM, Richmond BK. Large Recurrent Retroperitoneal Cystic Lymphangioma in an Adult. Am Surg 2023; 89:331-333. [PMID: 33170033 DOI: 10.1177/0003134820952835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Affiliation(s)
- Kristen M Hardy
- School of Medicine, West Virginia University, Morgantown, WV, USA
| | - Bryan K Richmond
- Department of General Surgery, West Virginia University/Charleston Division, WV, USA
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Su T, Li C, Song B, Song D, Feng Y. Case report and literature review: Giant retroperitoneal cystic lymphangioma. Front Surg 2023; 10:1074067. [PMID: 36733888 PMCID: PMC9887134 DOI: 10.3389/fsurg.2023.1074067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Accepted: 01/02/2023] [Indexed: 01/18/2023] Open
Abstract
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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Affiliation(s)
- Tieshan Su
- Departments of Gastrointestinal Colorectal Anus Surgery, China-Japan Union Hospital, Jilin University, Changchun, China
| | - Chaoyuan Li
- Departments of Orthopedics Surgery, China-Japan Union Hospital, Jilin University, Changchun, China
| | - Bin Song
- Departments of Gastrointestinal Colorectal Anus Surgery, China-Japan Union Hospital, Jilin University, Changchun, China
| | - Defeng Song
- Departments of Gastrointestinal Colorectal Anus Surgery, China-Japan Union Hospital, Jilin University, Changchun, China,Correspondence: Defeng Song Ye Feng
| | - Ye Feng
- Departments of Gastrointestinal Colorectal Anus Surgery, China-Japan Union Hospital, Jilin University, Changchun, China,Correspondence: Defeng Song Ye Feng
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Mukakala AK, Banza MI, Musapudi EM, Lubosha NA, Kasanga TK, Nafatalewa DK, Yumba SN, Ngabunda PM, Mwenibamba RM. [Cystic hygroma of the neck in a young adult: about a case and literature review]. Pan Afr Med J 2020; 36:54. [PMID: 32774629 PMCID: PMC7388595 DOI: 10.11604/pamj.2020.36.54.21758] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Accepted: 02/14/2020] [Indexed: 11/11/2022] Open
Abstract
Cystic hygromas are congenital malformations affecting the lymphatic system. These are rare benign dyssembryoplastic lesions mainly affecting the head and neck, in particular the posterior triangle of the neck. They usually occur during childhood and exceptionally in adults. We here report a clinical case of cystic hygroma of the neck in a 22-year old subject.
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Affiliation(s)
- Augustin Kibonge Mukakala
- Département de Chirurgie, Cliniques Universitaires de Bukavu, Faculté de Médecine, Université Officielle de Bukavu, République Démocratique du Congo
- Département de Chirurgie, Cliniques Universitaires de Lubumbashi, Faculté de Médecine, Université de Lubumbashi, République Démocratique du Congo
| | - Manix Ilunga Banza
- Département de Chirurgie, Cliniques Universitaires de Lubumbashi, Faculté de Médecine, Université de Lubumbashi, République Démocratique du Congo
| | - Eric Mbuya Musapudi
- Département de Chirurgie, Cliniques Universitaires de Lubumbashi, Faculté de Médecine, Université de Lubumbashi, République Démocratique du Congo
| | - Nasser Amisi Lubosha
- Département de Chirurgie, Cliniques Universitaires de Lubumbashi, Faculté de Médecine, Université de Lubumbashi, République Démocratique du Congo
| | - Trésor Kibangula Kasanga
- Département de Chirurgie, Cliniques Universitaires de Lubumbashi, Faculté de Médecine, Université de Lubumbashi, République Démocratique du Congo
| | - Dimitri Kanyanda Nafatalewa
- Département de Chirurgie, Cliniques Universitaires de Lubumbashi, Faculté de Médecine, Université de Lubumbashi, République Démocratique du Congo
| | - Serge Ngoie Yumba
- Département de Chirurgie, Cliniques Universitaires de Lubumbashi, Faculté de Médecine, Université de Lubumbashi, République Démocratique du Congo
| | - Papy Mukimba Ngabunda
- Département de Chirurgie, Cliniques Universitaires de Lubumbashi, Faculté de Médecine, Université de Lubumbashi, République Démocratique du Congo
| | - Rodrigue Mupenda Mwenibamba
- Département de Chirurgie, Cliniques Universitaires de Bukavu, Faculté de Médecine, Université Officielle de Bukavu, République Démocratique du Congo
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Olaoye IO, Adesina MD. Rare huge retroperitoneal cystic lymphangioma presenting as acute abdomen in an adult. BJR Case Rep 2018; 4:20170120. [PMID: 31489216 PMCID: PMC6711268 DOI: 10.1259/bjrcr.20170120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2017] [Revised: 03/13/2018] [Accepted: 03/21/2018] [Indexed: 11/20/2022] Open
Abstract
Cystic lymphangiomas are rare benign tumors. Most are diagnosed in childhood and
their presentation in adults is rare. Retroperitoneal cystic lymphangiomas
constitute only 1% of lymphangiomas. Unfortunately the differentiation
between cystic lymphangiomas and other cystic tumors is often not possible and
surgery with histology is essential for confirmation of diagnosis. A 20-year-old
lady with retroperitoneal cystic lymphangioma presented with acute abdomen. In
the diagnosis of this patient, abdominal Ultrasound, CT and MRI scans were
obtained.
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Affiliation(s)
| | - Micheal Dapo Adesina
- Surgery Department, University of Ilorin Teaching Hospital Ilorin, Ilorin, Nigeria
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Chaker K, Sellami A, Ouanes Y, Zehani A, Jallouli W, Ben Chehida MA, Abid K, Ben Rhouma S, Nouira Y. Retroperitoneal cystic lymphangioma in an adult: A case report. Urol Case Rep 2018; 18:33-34. [PMID: 29785367 PMCID: PMC5958815 DOI: 10.1016/j.eucr.2018.02.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Revised: 02/17/2018] [Accepted: 02/21/2018] [Indexed: 11/21/2022] Open
Affiliation(s)
- Kays Chaker
- Departement of Urology, La Rabta Hospital, Tunisia
| | | | | | - Alia Zehani
- Departement of Pathology, La Rabta Hospital, Tunisia
| | | | | | - Karem Abid
- Departement of Urology, La Rabta Hospital, Tunisia
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