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Ahmed MM, Shareef FU, Abdul Aziz JM, Mohammed SK, Karim HA, Maulud MA, Fareeq DH, Aziz DF, Rashid MJ. Unusual acute right abdominal pain. Distal ileum mesenteric cystic lymphangioma in adult, a rare case and literature review. J Surg Case Rep 2024; 2024:rjae322. [PMID: 38800506 PMCID: PMC11126340 DOI: 10.1093/jscr/rjae322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Accepted: 05/01/2024] [Indexed: 05/29/2024] Open
Abstract
Lymphangiomas in the peritoneal cavity are rare in adults, with most cases occurring in children. We present the case of a 49-year-old woman who was admitted with severe lower abdominal pain. The diagnostic assessment revealed a multiloculated cystic structure in the mesentery of the distal ileum, suggesting a lymphangioma. The patient underwent laparotomy and resection, with successful removal of the mass. Histopathological examination confirmed the diagnosis of intestinal lymphangioma, a rare benign vascular neoplasm of the small bowel. Postoperatively, the patient experienced resolution of postoperative ileus and mild back and abdominal pain, with no complaints during follow-up. Awareness of this uncommon condition is crucial for accurate diagnosis and appropriate treatment. Surgical resection, supported by radiological and histopathological investigations, is the primary treatment modality for symptomatic lymphangioma. Regular follow-up with imaging may be necessary to monitor recurrence.
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Affiliation(s)
- Muhsin Mohammed Ahmed
- Biomedical Science Department, Komar University of Science and Technology, Sulaymaniyah, Kurdistan Region 46001, Iraq
| | - Farman Uthman Shareef
- Medical Laboratory Science Department, College of Science, Charmo University, Sulaymaniyah, Kurdistan Region 46001, Iraq
| | - Jeza Muhamad Abdul Aziz
- Biomedical Science Department, Komar University of Science and Technology, Sulaymaniyah, Kurdistan Region 46001, Iraq
- Baxshin Research Center, Baxshin Hospital, Sulaymaniyah, Kurdistan Region 46001, Iraq
| | - San Khasraw Mohammed
- Sulaymaniyah General Directorate of Health, Shar Hospital, Sulaymaniyah, Kurdistan Region 46001, Iraq
| | - Hawnaz Atta Karim
- Baxshin Research Center, Baxshin Hospital, Sulaymaniyah, Kurdistan Region 46001, Iraq
- Histopathology Department, Baxshin Hospital, Sulaymaniyah, Kurdistan Region 46001, Iraq
| | | | - Daro Hadi Fareeq
- Sulaymaniyah General Directorate of Health, Shar Hospital, Sulaymaniyah, Kurdistan Region 46001, Iraq
| | - Dlivan Fattah Aziz
- College of Pharmacy, University of Sulaimani, Sulaymaniyah, Kurdistan Region 46001, Iraq
| | - Muhammad Jabar Rashid
- Baxshin Research Center, Baxshin Hospital, Sulaymaniyah, Kurdistan Region 46001, Iraq
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Feng X, Chen X, Feng Q, Liu X, Li H, Chen H, Cai Z, Li J. Case report: A mesocolic lymphangioma in a 14-year-old child resected by laparoscopic surgery. Front Oncol 2022; 12:1034563. [PMID: 36439409 PMCID: PMC9681893 DOI: 10.3389/fonc.2022.1034563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Accepted: 10/19/2022] [Indexed: 11/11/2022] Open
Abstract
Introduction Cystic lymphangioma is a benign malformation tumor of the lymphatic system. Its location is variable, and mesocolic localization remains extremely rare. Case presentation We 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. Conclusion Cystic 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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Affiliation(s)
- Xuping Feng
- Department of Liver Surgery & Liver Transplantation, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center of Biotherapy, Chengdu, Sichuan, China
- Laboratory of Liver Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Xinyang Chen
- West China School of Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Qingbo Feng
- Department of Liver Surgery & Liver Transplantation, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center of Biotherapy, Chengdu, Sichuan, China
- Laboratory of Liver Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Xiaoyin Liu
- Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Hancong Li
- West China School of Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Hao Chen
- Department of Liver Surgery & Liver Transplantation, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center of Biotherapy, Chengdu, Sichuan, China
- Laboratory of Liver Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Zhaolun Cai
- Gastric Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Jiaxin Li
- Department of Liver Surgery & Liver Transplantation, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center of Biotherapy, Chengdu, Sichuan, China
- Laboratory of Liver Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- DaFang County People's Hospital, Bijie, Guizhou, China
- *Correspondence: Jiaxin Li,
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