Abdominal cystic lymphangioma mimicking ovarian mass: A case report and literature review

Tympa,Aliki; Grigoriadis,Charalampos; Theodoraki,Kassiani; Vassiliou,Ioannis

doi:10.3892/mco.2020.2202

February-2021 Volume 14 Issue 2

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February-2021 Volume 14 Issue 2

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Case Report Open Access

Abdominal cystic lymphangioma mimicking ovarian mass: A case report and literature review

Authors:
- Aliki Tympa
- Charalampos Grigoriadis
- Kassiani Theodoraki
- Ioannis Vassiliou
View Affiliations / Copyright

Affiliations: First Department of Anesthesiology, Aretaieion Hospital, Medical School, University of Athens, Athens 11528, Greece, Department of Obstetrics and Gynecology, Leto Maternity Hospital, Athens 11524, Greece, Second Department of Surgery, Aretaieion Hospital, Medical School, University of Athens, Athens 11528, Greece

Copyright: © Tympa et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Article Number: 43
|
Published online on: December 30, 2020

https://doi.org/10.3892/mco.2020.2202
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Abstract

Cystic lymphangiomas are uncommon benign lesions extremely rare in the adult population. Most cases are found in the neck and axillary regions; while <1% of patients present with cystic lymphangiomas in the mesentery, greater omentum and retroperitoneum. The present report describes a rare case of large omental lymphangioma mimicking ovarian mass. A 40‑year‑old G2P2 female patient presented without symptoms for routine gynecological examination. Transvaginal ultrasound examination revealed a cystic mass with a maximum diameter of 10 cm localized at the right parametrium space, suggestive of large cystic lesion of the right ovary. Further preoperative evaluation by magnetic resonance imaging indicated that the mass was either cystic lymphangioma or mesenteric cyst. Complete excision of the cyst without need for gastrectomy was performed via laparotomy under general anaesthesia. Histology revealed omental lymphangioma. Most abdominal lymphangiomas are initially asymptomatic. The role of synchronous imaging examinations, such as ultrasonography and magnetic resonance imaging, in diagnosis of these lesions is crucial. Full preoperative differential diagnosis evaluation in cases of large intraabdominal lesions is required in order to decide the appropriate surgical approach and management.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Abdominal cystic lymphangioma mimicking ovarian mass: A case report and literature review

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Abstract

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