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Intra-abdominal lymphatic malformation

Journal Volume 69 - 2006
Issue Fasc.2 - Case reports
Author(s) Y. De Bast, D. Hossey, L. Boon, R. Duttmann, A. Theunis, S. Chambers, M. Nyst, P. Mendes Da Costa
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(1) Digestive Surgery department (Paul Brien site), (2) Plastic Surgery department (Paul Brien site), (3) Anatomopathology department (Victor Horta site), (4) Digestive Surgery department (Victor Horta site), Brugmann University Hospital, Bruxelles, Belgium.

Intra-abdominal lymphangioma is a rare congenital lymphatic vascular malformation. It is found, most commonly, in adult patients who present with abdominal pain, and whom medical imaging (ultrasound, endoscopy and tomography) reveals a cystic intra-abdominal mass. Such masses may be on the mesentery, in contact with abdominal viscera or may be part of the visceral wall. Diagnosis of intra-abdominal lymphangioma is difficult because of its rarity, and because other pathologies may have the same radi- ological signs. The diagnosis is confirmed by anatomopathological examination with immunohistochemistry. The treatment is complete surgical excision, in order to prevent recurrence. (Acta gastroenterol. belg., 2006, 69, 209-212).

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