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Intra-abdominal Cystic Lymphangiomas: The Vanderbilt Experience.
Annmarie Mede1, Pranit N Chotai2, Won Jae Huh3
1Vanderbilt University School of Medicine, Nashville, Tennessee.
The Journal of Surgical Research
|January 25, 2023
Summary
Abdominal lymphangiomas are rare lymphatic malformations, often found incidentally in the small bowel. Surgical resection is typically reserved for symptomatic cases, with most patients experiencing a favorable prognosis and no malignancy development.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pediatric Surgery
Background:
- Lymphangiomas are rare congenital lymphatic malformations.
- Abdominal lymphangiomas present unique diagnostic and management challenges.
- Understanding clinical features and outcomes is crucial for rare diseases.
Approach:
- Retrospective review of 48 abdominal lymphangioma cases (2010-2021).
- Analysis of demographics, imaging, histopathology, and patient outcomes.
- Diagnosis confirmed via histopathology from biopsies.
Key Points:
- Most abdominal lymphangiomas originate from the small bowel (65%).
- Only one-third of patients were symptomatic, commonly presenting with abdominal pain.
- Surgical excision was performed in 60% of cases, with a favorable prognosis and no reported malignancies.
Conclusions:
- Abdominal lymphangiomas are frequently incidental findings with a good prognosis.
- Surgical intervention should be considered for symptomatic lesions or diagnostic ambiguity.
- This study highlights the benign nature and management strategies for abdominal lymphangiomas.
