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Gallbladder lymphangioma simulating liver hydatid cyst: A case report.

Osama N Dukmak1, Fajr M A Sarhan1, Saad Mufid Ali Mohammad1

  • 1Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.

International Journal of Surgery Case Reports
|August 29, 2022
PubMed
Summary

Rare gallbladder lymphangiomas, benign tumors often found in adulthood, can cause abdominal pain. Histological analysis is crucial for diagnosing these dilated lymphatic vessel tumors.

Keywords:
Case reportGallbladder lymphangiomaHydatid cyst

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Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Pediatric Surgery

Background:

  • Gallbladder lymphangiomas are rare, benign tumors originating in early life.
  • They often remain asymptomatic until adulthood or complications arise.
  • Physician awareness is key despite their rarity.

Observation:

  • A 14-year-old female presented with a month of right upper quadrant abdominal pain.
  • Imaging revealed a large cystic lesion on the gallbladder; initial diagnosis was hydatid cyst.
  • Histological examination confirmed dilated lymphatic vessels, indicating lymphangioma.

Findings:

  • Gallbladder lymphangiomas can manifest as abdominal pain, nausea, and vomiting.
  • Potential complications include compression, infection, rupture, torsion, and hemorrhage.
  • Histological confirmation of dilated lymphatic vessels is essential for diagnosis.

Implications:

  • Right upper quadrant pain may indicate underlying gallbladder pathology.
  • Accurate diagnosis, confirmed by histology, is vital for appropriate treatment.
  • Surgical excision is the primary treatment for gallbladder lymphangioma.