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Cystic lymphangioma of hepato-gastric ligament: a rare case of neoplasia in adults

BMC Geriatrics
Springer (Biomed Central Ltd.)
Publication Date
DOI: 10.1186/1471-2318-11-s1-a22
  • Meeting Abstract
  • Biology
  • Medicine


Cystic lymphangioma of hepato-gastric ligament: a rare case of neoplasia in adults MEETING ABSTRACT Open Access Cystic lymphangioma of hepato-gastric ligament: a rare case of neoplasia in adults L Grimaldi1*, S Reggio2 From XXIII Annual Meeting of the Italian Society of Geriatric Surgery Lecce, Italy. 2-4 December 2010 Background The cystic lymphangiomas (LC) are polymorphous tumors of undecided origin, [1], observed mainly in chil- dren and more often localized in the cervical and axil- lary areas. [2]. We report the case of an adult who suffers from cystic lymphangioma of the peritoneum already with a history of surgery for the same type of cancer of the left cheek. Materials and methods FE, a man of 71 years, comes to our attention in July 2009 complaining about one month from the onset of dyspeptic disorders and a sense of weight reported in epigastrium. In his history, in addition to this, the patient reported the removal of a cystic lymphangioma in the left cheek a few years before. On physical exami- nation, in the right hypochondriac region, there is the presence of swelling of tense-elastic consistency, mobile on superficial and deep plans and painless, about 10 cm in maximum diameter. Ultrasound, CT and MRI docu- mented the presence of an oval formation, with cystic charateristics 144x68 mm in diameter that extends caudally to about 10 mm in the context of the perito- neum in close proximity with the front lower edge of the small wing of the liver and the gastric body. The patient underwent exploratory laparotomy, where we found a massive lesion, well encapsulated, of elastic con- sistency, brown stalk, originating from the hepato-gastric ligament and we proceed with the removal of the mass “en bloc” after ligation of the vascular pedicle. No addi- tional excision was necessary. The histological examina- tion demonstrated a cystic lymphangioma. The post- operative course was regular, the patient was discharged on the third day. After six months of follow up the pati

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