TITLE:
Intra-Abdominal Cystic Lymphangioma: Report of 21 Cases
AUTHORS:
Mohamed Ben Mabrouk, Malek Barka, Waad Farhat, Fathia Harrabi, Mohamed Azzaza, Nefis Abdennaceur, Amine Schaidar, Abdelkader Mizouni, Jaafar Mazhoud, Ali Ben Ali
KEYWORDS:
Cystic Lymphangioma, Intra-Abdominal, Diagnosis, Surgical Treatment, Evolution
JOURNAL NAME:
Journal of Cancer Therapy,
Vol.6 No.7,
July
15,
2015
ABSTRACT: Studying in a retrospective review of 21 cases,
diagnostic, therapeutic and evolutionary aspects of intra-abdominal cystic
lymphangioma (CL). Methods: Between 1992 and 2014, 21 patients were operated at
our institution for a CL. Clinical presentation, location, surgical management
and outcome were studied. Results: There were 14 women and 7 men. All CL were
diagnosed by abdominal ultrasound and/or abdominal CT scan. The most common
site was the retroperitoneum (24%) followed by equally by the mesentery, the
mesocolon and abdominal wall. Surgical treatment consisted of a complete
resection of cyst in 20 patients. This resection required a splenectomy in one
case for a splenic location and digestive resection in 2 cases. Two cases of
recurrence of CL were revealed. The first case was a result of partial
resection, but the second case occurred in a patient who underwent a total
cystectomy. These patients were asymptomatic, so we decided to monitor them. Conclusion:
CL in adult is a rare disease. The preoperative diagnostic has benefited from
the contribution of imaging mainly ultrasound and CT scan, treatment consisted
of surgical complete excision to prevent recurrences.