Cystic lymphangiomas are extremely rare benign vascular neoplasms generally found in childhood. Thought to arise from obstructed lymphatic channels during development, but may also arise secondary to trauma, inflammation, malignancy, and surgery or radiation exposure. They are usually seen in the head and neck or axillary region, and rarely in the abdominal cavity with only 1% occurring in the retroperitoneum. These are typically asymptomatic lesions incidentally identified by computer tomography, magnetic resonance imaging or ultrasound. Complete surgical resection with histologic confirmation of the diagnosis is the treatment of choice.
We present a case of a 27-year-old woman with multiple cystic lymphangiomas in retroperitoneum, discovered incidentally by ultrasound during pregnancy.
CONFLICTS OF INTEREST DISCLOSURE
There is no conflict of interest.
| [1] |
Ishibashi Y, Tsujimoto H, Kouzu K, et al. Laparoscopic resection of a huge retroperitoneal cystic lymphangioma after successful reduction of tumor size with a double balloon catheter. Int J Surg Case Rep [Internet]. 2015; 11: 8-10. PMid:25898335. https://doi.org/10.1016/j.ijscr.2015.04.016
|
| [2] |
Mohammadi A, Ghasemi-rad M, Abassi F. Asymptomatic lymphangioma involving the spleen and mediastinum in adults. Med Ultrason. 2013; 15(2): 154-456. PMid:23702506. https://doi.org/10.11152/mu.2013.2066.152.am1mgr2
|
| [3] |
Di Marco M, Grassi E, Vecchiarelli S, et al. Retroperitoneal lymphangioma:A report of 2 cases and a review of the literature regarding the differential diagnoses of retroperitoneal cystic masses. Oncol Lett. 2016; 11(5): 3161-6. PMid:27123082. https://doi.org/10.3892/ol.2016.4367
|
| [4] |
Ozdemir O, Sari ME, Atalay CR, et al. Cystic lymphangioma of the lesser omentum in a pregnant woman: A case report and review of the literature. J Exp Ther Oncol. 2015; 11(2): 155-8. PMid:25667777. https://doi.org/10.1155/2015/583021
|
| [5] |
Abdelkader A, Hunt B, Hartley CP, et al. Cystic lesions of the pancreas differential diagnosis and cytologic-histologic correlation. Arch Pathol Lab Med. 2020; 144(1): 47-61. PMid:31538798. https://doi.org/10.5858/arpa.2019-0308-RA
|
| [6] |
Yongo E, Manyala J, Kito K, et al. Diet of Silver Cyprinid, Rastrineobola argentea in Lake Victoria, Kenya. Int J Adv Res. 2016; 4(4): 144-9. https://doi.org/10.21474/IJAR01/113
|