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[Gastro-epiploic lymphangioma. A case report].
M H Bouhaouala1, K Nouira, S Nagi
1Service d'imagerie médicale, Hôpital des Forces de sécurité intérieure, La Marsa, Tunisie. habid.bouhaouala@fmt.rnu.tn
Journal De Radiologie
|June 12, 2004
Summary
A rare gastro-epiploic lymphangioma was diagnosed in a young male patient with epigastric pain. Surgical excision confirmed the cystic lymphangioma, highlighting its unusual location and presentation.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Diagnostic Imaging
Background:
- Lymphangiomas are benign congenital tumors typically found in the head, neck, and axilla.
- Gastro-epiploic lymphangiomas are exceptionally rare, with limited case reports in medical literature.
- This case highlights the importance of considering rare diagnoses in patients with atypical abdominal symptoms.
Observation:
- A 29-year-old male presented with epigastric cramps.
- Abdominal imaging revealed a cystic mass in the upper abdomen, extending to the lesser sac.
- The mass was closely associated with the celiac trunk, stomach, and lesser omentum.
Findings:
- Surgical exploration identified a large cystic mass involving the gastro-epiploic region.
- The mass required extensive dissection due to its adherence to surrounding structures.
- Histopathological examination confirmed the diagnosis of cystic lymphangioma.
Implications:
- This case expands the known anatomical locations for lymphangiomas.
- Early and accurate diagnosis through imaging is crucial for effective surgical management.
- Complete surgical excision is the primary treatment for symptomatic lymphangiomas.