scholarly journals Cystic Lymphangioma of the Greater Omentum: A Case of Partial Spontaneous Regression and Review of the Literature

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Haraesh Maranna ◽  
Lovenish Bains ◽  
Pawan Lal ◽  
Rahul Bhatia ◽  
Mohd Yasir Beg ◽  
...  
Keyword(s):  
Spontaneous Regression ◽  
Hospital Admissions ◽  
Pediatric Population ◽  
Lower Abdominal Pain ◽  
Cystic Lymphangioma ◽  
Greater Omentum ◽  
Case Presentation ◽  
Diagnostic Uncertainty ◽  
Cystic Lymphangiomas ◽  
Alternative Routes

Introduction. Omental cysts are a part of cystic lymphangiomas and are benign proliferations of ectopic lymphatics without a communication with the normal lymphatic system. They commonly involve the neck in the pediatric population and are uncommon at other sites and occur rarely in adults. Case Presentation. A 42-year-old female with complaints of vague lower abdominal pain for 8 months presented with a soft, nontender swelling of size 22×18 cm in the hypogastrium and umbilical region. Computerized tomography (CT) of the abdomen showed a peripherally enhancing hypodense cystic lesion of size 19×14×12 cm perhaps arising from the mesentery. The cyst had spontaneously reduced in size by about 70% over the next 4 months. During surgery, the cyst of size 10×9×8 cm was present in the greater omentum. Excision was done, and histopathology was suggestive of cystic lymphangioma. Discussion. Cystic lymphangiomas have an incidence of 1/20000 at infancy and 1/100000 to 1/250000 of hospital admissions in adults, and the female-to-male ratio is 2 : 1. In adults, they are found in the age group between 40 and 70 years. Spontaneous regression of omental cysts is very rare and presumably from increased pressure in cysts overcoming incomplete obstructions or by establishment of alternative routes of drainage. Conclusion. As the disease is essentially benign and if there are no significant pressure symptoms, the cysts of short duration can be watched further for regression. Long-standing, symptomatic cysts, nonregression, and diagnostic uncertainty will warrant surgery to confirm the diagnosis and relieve the symptoms.

scholarly journals Solitary fibrous tumor of the greater omentum: case report and review of literature

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Karim M. Eltawil ◽  
Carly Whalen ◽  
Bryce Knapp
Keyword(s):  
Solitary Fibrous Tumor ◽  
Management Strategy ◽  
Abdominal Mass ◽  
Lower Abdominal Pain ◽  
Greater Omentum ◽  
Team Approach ◽  
Review Of Literature ◽  
Case Presentation ◽  
Multidisciplinary Team Approach ◽  
Fibrous Tumor

Abstract Background Solitary fibrous tumor (SFT) is a rare neoplasm of mesenchymal origin occurring most often in the visceral pleura, however, it has been described in almost every anatomic location of the human body. While most SFTs have a benign behavior, they can potentially be locally aggressive and demonstrate a malignant behavior. Case presentation A 63 year-old male patient presented with lower abdominal pain and nausea and was noted on CT to have a large, heterogeneous lower abdominal mass with no evidence of metastatic disease. A surgical resection was performed and the mass appeared to be connected to the greater omentum with a vascular pedicle. It was not invading any intra-abdominal or pelvic organs. Pathology revealed an SFT of omental origin. The mitotic count was less than 4 per 10 high-power fields and all pathologic characteristics did not meet the criteria for a malignant SFT. Conclusions We report an extremely rare case of SFT originating from the greater omentum. A multidisciplinary team approach was followed to plan the patient’s management strategy.

scholarly journals Omental cyst presenting as tubercular ascites

2010 ◽  
Vol 4 (03) ◽  
pp. 183-186 ◽  
Author(s):  
Neha Joshi ◽  
Sangeeta Yadav ◽  
Bijender Singh ◽  
Aashima Gupta
Keyword(s):  
Adenosine Deaminase ◽  
Economic Burden ◽  
Diagnostic Procedures ◽  
Cystic Lymphangioma ◽  
Greater Omentum ◽  
Cystic Lymphangiomas ◽  
Resource Poor ◽  
Omental Cyst ◽  
Vascular Origin ◽  
Benign Tumours

Cystic lymphangiomas are uncommon congenital benign tumours of vascular origin with a lymphatic differentiation originating across various anatomical locations. Large intrabdominal cysts may mimic ascites. We report the case of a one-and-a-half-year-old male child with a giant cystic lymphangioma originating in the greater omentum presenting as tubercular ascites. This report aims to highlight the limitations of biochemical investigations such as ascitic adenosine deaminase (ADA) in differentiating the epidemiologically prevalent tubercular ascites from an intrabdominal cyst, especially in a resource-poor nation as ours, where invasive diagnostic procedures pose an economic burden.

scholarly journals Pathological Discrepancy: Simple Mesenteric Cyst vs. Mesenteric Lymphangioma

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Vygintas Aliukonis ◽  
Marius Lasinskas ◽  
Algirdas Pilvelis ◽  
Audrius Gradauskas
Keyword(s):  
Histological Finding ◽  
Cystic Lymphangioma ◽  
Mesenteric Cyst ◽  
Histological Structure ◽  
Complete Excision ◽  
Case Presentation ◽  
Mesenteric Lymphangioma ◽  
Cystic Lymphangiomas ◽  
Mesothelial Cyst ◽  
Mesenteric Cysts

Introduction. Both mesenteric cysts and cystic lymphangiomas are scarce and clinically and radiologically almost identical derivatives, but their histological structure is fundamentally different. Case Presentation. A 52-year-old woman was consulted by a surgeon for a derivative felt in her abdomen. The patient said she felt a growing derivative in the abdomen about a month ago. After consulting and testing, a sigmoid colon mesenteric cyst ( 13   cm × 11   cm × 10   cm ) was found. Complete excision of the cyst within healthy tissues was performed through laparotomy. The surgery had no complications. The initial pathological answer was a simple mesothelial cyst (a rare histological finding). However, immunohistochemical tests were performed that showed that diagnosis was mesenteric cystic lymphangioma (ML). Cystic lymphangiomas that have a link to the mesentery have been described less than 200 times. Conclusions. Final differential diagnosis between different cystic derivatives is possible only based on histopathological examinations. Mesenteric lymphangioma is most common at a very young age, but in rare cases, it also occurs in adults. All clinicians should increase their awareness of the disease.

scholarly journals Elbow Cystic Lymphangioma in an 8-Month-Old Boy

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Mohammad Jawad H. Rahal ◽  
Morad R. Abou Al Ezz ◽  
Rabab A. El Hajj ◽  
Jad Z. Chokor ◽  
Selim M. Nasser ◽  
...  
Keyword(s):  
Head And Neck ◽  
Surgical Resection ◽  
Rare Case ◽  
Pediatric Population ◽  
Cystic Lymphangioma ◽  
Benign Tumors ◽  
Cystic Lymphangiomas ◽  
Complete Surgical Resection ◽  
The Right

Cystic lymphangiomas are benign tumors originating mainly in the head and neck of the pediatric population. The authors report a rare case of cystic lymphangioma in the right elbow of an 8-month-old baby treated successfully by complete surgical resection.

Cystic lymphangioma of the greater omentum treated by laparoscopic resection

2021 ◽  
Author(s):  
Tsutomu Namikawa ◽  
Shigeto Shimizu ◽  
Keiichiro Yokota ◽  
Nobuhisa Tanioka ◽  
Masaya Munekage ◽  
...  
Keyword(s):  
Laparoscopic Resection ◽  
Cystic Lymphangioma ◽  
Greater Omentum

scholarly journals Recurrent schwannoma of the tongue in a pediatric patient—report of a rare case with an updated review of literature

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Anup Singh ◽  
Vaisakh Kuzhikkali ◽  
Arvind Kumar Kairo
Keyword(s):  
Pediatric Population ◽  
Surgical Excision ◽  
Review Of Literature ◽  
Case Presentation ◽  
Nerve Sheath Tumors ◽  
Peripheral Nerve Sheath Tumors ◽  
Nerve Sheath ◽  
Cervical Sympathetic ◽  
Mobile Tongue

Abstract Background Head and neck is a relatively common site of occurrence for the peripheral nerve sheath tumors, and majority of these tumors are seen involving neck, involving vagus nerve, and cervical sympathetic chain. Schwannomas involving mobile tongue are rarely encountered, especially in the pediatric population Case presentation We present a case of recurrent tongue schwannoma in a 13-year-old female successfully managed with transoral excision. At a follow-up of 3 years, no recurrence is observed. Conclusion Surgical excision is the recommended modality of treatment for lingual schwannomas, and when excised adequately, recurrences are not expected. A clear margin of surrounding normal tissue should be aimed for to avoid possible recurrence.

Torsion of a parasitic leiomyoma: a rare but important differential in women presenting with lower abdominal pain

2021 ◽  
Vol 14 (1) ◽  
pp. e232797
Author(s):  
Clemmie Stebbings ◽  
Ahmed Latif ◽  
Janakan Gnananandan
Keyword(s):  
Abdominal Pain ◽  
Iliac Fossa ◽  
Lower Abdominal Pain ◽  
Sudden Onset ◽  
Greater Omentum ◽  
Caribbean Woman ◽  
History Of ◽  
Right Iliac Fossa Pain ◽  
The Right ◽  
Fat Stranding

A 39-year-old multiparous Afro-Caribbean woman attended the emergency department with sudden-onset severe right iliac fossa pain. Her inflammatory markers were mildly elevated. Computerised tomography of the abdomen demonstrated features of fat stranding in the right iliac fossa suspicious of acute appendicitis. The scan also noted uterine leiomyomas. The patient was taken to theatre for an emergency diagnostic laparoscopy where her appendix was found to be macroscopically normal. A necrotic heavily calcified parasitic leiomyoma was seen in the right adnexa, free of the uterus and adherent to the greater omentum on a long torted pedicle. The parasitic leiomyoma was successfully removed piecemeal laparoscopically. Complications of leiomyomas, namely, torsion and necrosis, are important differentials in women presenting with sudden-onset lower abdominal pain. A history of sudden-onset severe lower abdominal pain with a background of known leiomyoma should prompt the clerking surgeon to consider a complication of leiomyoma as part of the differential diagnoses.

scholarly journals Endometrioid adenocarcinoma of the rectovaginal septum with invasion of the rectum: a case report and review of literature

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Hua Yang ◽  
Jiao-jiao Gu ◽  
Yue Qi ◽  
Wei Zhao ◽  
Xin-lu Wang
Keyword(s):  
Lower Abdominal Pain ◽  
Pelvic Mass ◽  
Preoperative Imaging ◽  
Histopathological Diagnosis ◽  
Endometrioid Adenocarcinoma ◽  
Rectovaginal Septum ◽  
Case Presentation ◽  
Additional Chemotherapy ◽  
Good Treatment Response ◽  
Gynecological Tumor

Abstract Background Malignant transformation of endometriosis in the rectovaginal septum is rare and usually misdiagnosed as a colorectal or gynecological tumor. We report a rare case of primary endometrioid adenocarcinoma of the rectovaginal septum with invasion of the rectum. Case presentation A 57-year-old overweight woman presented with vaginal bleeding and self-reported left lower abdominal pain during the previous 2 weeks. Preoperative imaging showed a large pelvic mass with invasion of the rectum, suggestive of a gynecologic malignancy. Multiple endoscopic biopsies and immunohistochemical analyses of specimens was performed. The patient received joint gynecological-surgical laparotomy, and there were no intra- or postoperative complications. The histopathological diagnosis was rectovaginal endometrioid adenocarcinoma with rectum infiltration. The patient received adjuvant chemotherapy and achieved good treatment response, with no early complications. At 12 months after surgery, there was no evidence of recurrence. Conclusions A high index of clinical suspicion is required for the diagnosis of endometrioid adenocarcinoma in the rectovaginal septum. Surgery combined with additional chemotherapy or radiotherapy seems to be a standard treatment, and hormonal therapy is optional. The efficacies of other therapies, including targeted medication and immunotherapy, are unknown.

scholarly journals Familial oral lichen planus in a 3-year-old boy: a case report with eight years of follow-up

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Fang Wang ◽  
Ya-Qin Tan ◽  
Jing Zhang ◽  
Gang Zhou
Keyword(s):  
Lichen Planus ◽  
Oral Mucosa ◽  
Buccal Mucosa ◽  
Oral Lichen Planus ◽  
Familial Aggregation ◽  
Pediatric Population ◽  
Case Presentation ◽  
Oral Lichen

Abstract Background Oral lichen planus (OLP) is a chronic mucocutaneous disease characterized by adult predominance and a prolonged course. However, it is rare in the pediatric population with familial aggregation. Case presentation A 3-year-old boy presented with pain and irritation on the oral mucosa while contacting spicy food for 2 months. Oral examination showed widespread whitish reticular and papular lesions on the lips, the dorsum of the tongue, and bilateral buccal mucosa, with diffuse erosions covered with pseudomembrane on the buccal mucosa. The boy’s parents were examined to exhibit white reticular and plaque-like lesions on their oral mucosa. The three patients were clinically diagnosed as affected by OLP and histopathologically confirmed. The boy underwent topical treatment with recombinant bovine basic fibroblast growth factor (rb-bFGF) gel, and oral lesions gradually resolved and healed. Neither of his parents received treatment. During the subsequent follow-ups, none of three patients underwent any medical treatment. Fortunately, their lesions had almost faded over 8 years. Conclusions Our case emphasizes that pediatric OLP should be recorded with family history. Besides, long-term periodic follow-up is recommended in pediatric patients with OLP for monitoring any changes in lesions.

Cystic mass appended to the greater curvature of the stomach? Cystic lymphangioma of the greater omentum

2020 ◽  
Vol 157 (5) ◽  
pp. 443-445
Author(s):  
A. Taibi ◽  
S. Derbal ◽  
M. Mathonnet ◽  
S. Durand Fontanier
Keyword(s):  
Cystic Mass ◽  
Cystic Lymphangioma ◽  
Greater Omentum ◽  
Greater Curvature
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