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Retroperitoneal Lymphangioma in Adult: A Case Report.

M H Khan1, J Sultana, T Ahsan

  • 1Dr Md Manir Hossain Khan, Associate Professor, Department of Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh;

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PubMed
Summary

Retroperitoneal lymphangioma, a rare benign tumor, is uncommon in adults. This case study details a 41-year-old female successfully treated for this condition, highlighting surgical management and diagnosis.

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Area of Science:

  • Oncology
  • Vascular Malformations
  • Surgical Pathology

Background:

  • Lymphangioma, a benign tumor from lymphatic malformation, typically affects children under 2, primarily in the head and neck.
  • Retroperitoneal lymphangioma in adults represents a rare clinical presentation.
  • Obstruction of lymphatic channels leads to lymphangiectasia, a characteristic of lymphangioma.

Observation:

  • A 41-year-old female presented with non-specific symptoms including upper abdominal discomfort, nausea, vomiting, and anorexia for 1.5 years.
  • The patient was managed surgically at Bangabandhu Sheikh Mujib Medical University.
  • Surgical intervention involved exploratory laparotomy and cyst de-roofing.

Findings:

  • Histopathological examination confirmed the diagnosis of lymphangioma.
  • The tumor was located in the retroperitoneal space.
  • The patient's symptoms were attributed to the retroperitoneal lymphangioma.

Implications:

  • This case underscores the importance of considering rare diagnoses in adult patients with vague abdominal symptoms.
  • Surgical management, including de-roofing, can be effective for retroperitoneal lymphangioma.
  • Further research into the etiology and optimal management of adult retroperitoneal lymphangioma is warranted.