ABDOMINAL LYMPHATIC MALFORMATION: A REPORT OF SURGICALLY TREATED CASE


AKÇALI Y. F.

22nd Annual Meeting of the Asian Society for Cardiovascular and Thoracic Surgery, İstanbul, Turkey, 3 - 06 April 2014, pp.308

  • Publication Type: Conference Paper / Full Text
  • City: İstanbul
  • Country: Turkey
  • Page Numbers: pp.308
  • Erciyes University Affiliated: Yes

Abstract

Lymphatic malformations (LMs), are congenital vascular anomalies that result from abnormal development of the lymphatic channels, may be classified as macrocystic, microcystic, or combined. They usually placed in the head and neck, the abdominal location is rare. Abdominal LMs are most commonly macrocystic, involve the mesentery and retroperitoneum, and tend to present early in life. Traditionally, the primary treatment of LMs has been complete surgical resection.

A 22-year-old male patient referred with an atypical postprandial abdominal pain that it was presenting symptom. MRI was diagnostic for LM. The mass was located in small bowel mesentery, and in retroperitoneum. The approach by midline laparotomy allowed total mass resection without any bowel resection except appendectomy. The pathologic diagnosis showed an LM.?Abdominal LMs often manifest in a non-specific form and it may remain silent. Imaging studies guide the diagnosis, but only the histology provides a definitive result. Total surgical resection is the best option to prevent recurrences and minimize complications.