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Laparoscopic excision of a retroperitoneal cystic lymphangioma in an elderly patient
E N Trindade1, M R M Trindade, J C Boza
1Department of Surgery, Universidade Federal do Rio Grande do Sul, UFRGS. edunt@portoweb.com.br
Insights
A rare retroperitoneal cystic lymphangioma was found in an elderly male patient. Laparoscopic excision proved a safe and effective treatment for this unusual abdominal tumor.
Area of Science:
- Abdominal Surgery
- Oncology
- Pediatric Surgery
Background:
- Retroperitoneal cystic lymphangiomas are rare congenital benign tumors.
- Typically observed in pediatric populations, they are uncommon in adults.
- These lesions can cause significant mass effect and complications if left untreated.
Observation:
- A 68-year-old male presented with right iliac fossa pain and a palpable mass.
- Imaging revealed a cystic mass in the right iliac fossa.
- The patient underwent successful laparoscopic tumor excision.
Findings:
- Histological examination confirmed the diagnosis of cystic lymphangioma.
- This case highlights a rare occurrence of retroperitoneal cystic lymphangioma in an elderly patient.
- The tumor was successfully removed using minimally invasive laparoscopic surgery.
Implications:
- Laparoscopic surgery is a viable and safe option for treating retroperitoneal cystic lymphangiomas in elderly patients.
- Early diagnosis and surgical intervention are crucial to prevent complications associated with retroperitoneal masses.
- This case expands the understanding of cystic lymphangioma presentation and management in adult populations.
Abstract:
A 68-year-old male patient was referred to our hospital due to protrusion and pain in the right iliac fossa. On physical examination a palpable oval tumor was found. Ultrasonography and computed tomography revealed a cystic mass in right iliac fossa. The tumor was successfully excised laparoscopically and histologically diagnosed as cystic lymphangioma. Retroperitoneal cystic lymphangiomas are rare lesions, most often seen in pediatric patients. Surgical excision is the treatment of choice because of its potential to grow and develop complications, especially due to mass effect. The laparoscopic approach is a safe and effective alternative for treatment of retroperitoneal cystic lymphangioma in the elderly.