scholarly journals Mesenteric cystic lymphangioma – A rare case report; National Center for Pediatric Surgery, Gezira State, Sudan; 2021

2021 ◽  
Vol 8 (2) ◽  
pp. 014-018
Author(s):  
Omer Taha Ahmed Elmukashfi ◽  
Taha Ahmed Elmukashfi Elsheikh ◽  
Ahmed Mustafa Idris Mohamed ◽  
Wala Osman Eltieb Omer ◽  
Marwa Ahmed Ismail Elawal ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Pediatric Surgery ◽  
Lymphatic Vessels ◽  
Pelvic Mass ◽  
Cystic Mass ◽  
Cystic Lymphangioma ◽  
Mesenteric Lymph Nodes ◽  
Palpable Mass ◽  
Female Baby ◽  
Operative Findings

Cystic lymphangioma is a benign congenital malformation of the lymphatic vessels. At the National Center for Pediatric Surgery, Gezira State, Sudan; 2021; a female baby of 15 months old age presented complaining of abdominal distention of 10 days duration. Patient Looks unwell, not febrile, and not pale or jaundice; abdomen was distended with full flanks, there was a palpable mass in the epigastric region, no area of tenderness and no palpable organs. Abdomino-pelvic U/S showed very huge abdomino –pelvic cystic mass with multiple thick septa. CT abdomen showed huge abdomino-pelvic mass with multiple cysts that having variable sizes measuring up to 6*7 cm. An elective explorative laparotomy was done. Intra operative findings: Multiple cystic masses arise from the root of the small bowel mesentery matted together with multiple enlarged mesenteric lymph nodes involving segment of distal jejunum with multiple adhesions. Release of adhesion, resection of the masses along with 57 cm of the involving jejunum, anastomosis was done, and homeostasis was secured. Histopathology result showed dilated cystic spaces; lined by flat endothelial cells and multiple reactive lymph nodes, no evidence of malignancy. Features are in line with lymphangioma and associated mesenteric lymphadenitis. Discussion and Conclusion: Our case was 15 months old which is the age of presentation as mentioned internationally. Mesenteric cystic Lymphangiomas are more common among male unlike our case. Ultrasonography and CT abdomen were highly recommended to achieve early diagnosis and treatment of such cases.

scholarly journals Mitotically active cellular fibroma of the ovary diagnosis and treatment

2021 ◽  
Vol 17 (2) ◽  
pp. 160-166
Author(s):  
Rawan Ahmad Dawoud ◽  
Hind Hamad El-Malik ◽  
Haajra Fatima Fatima ◽  
Mohammed Elamin Faris Faris ◽  
Sanam Al Houda Brich ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Malignant Neoplasm ◽  
Pelvic Mass ◽  
Late Recurrence ◽  
Cystic Mass ◽  
Tumor Type ◽  
Mesenteric Lymph Nodes ◽  
Neoplastic Lesion ◽  
Fibrous Tumor ◽  
Mitotically Active Cellular Fibroma

Mitotically active cellular fibroma (MACF) of the ovary is a relatively newly recognized histological disease entity which explains its scarce reporting in literature and unknown prognosis [1]. In this tumor type, high mitotic activity is noticed without severe atypia. These tumors are categorized as benign ovarian tumors with late recurrence, if any. However, we herein report an unusual case of an ovarian mitotically active atypical fibrous tumor case which presented as recurrence within six months of being operated thereby raising suspicion of an element of malignancy. On presentation, the patient suffered from abdominal pain and abdomino-pelvic mass. After imaging confirmed an ovarian neoplastic lesion patient underwent bilateral salpingo-oophorectomy and hysterectomy. Histopathology defined the lesion as “ovarian mitotically active atypical fibrous tumor”. Six months later, abdominal pain recurred for which imagining was done and confirmed a newly developed well defined irregular complex solid cystic mass causing intestinal obstruction giving an impression of a malignant neoplasm, probably ovarian carcinoma. However, histopathology for the new lesion remained the same as was for the previous mass, i.e. mitotically active ovarian fibroma, but with lung and mesenteric lymph nodes metastases. Patient couldn’t be operated on due to her co-morbid conditions, and the mass was vascular. She was given supportive care with consideration to start hormonal therapy and during this period died due to sepsis. This case highlights the importance of having a high suspicion of the possibility of malignancy when mitotically active cellular fibroma manifests as a recurrence of mass as this tumor may tend to have an uncertain malignant potential. Thereby, stressing the importance of long term follow up even after the primary tumor is surgically treated without any surgical difficulty or tumor rupture [2]. Such tumors need to be followed and reported more often to help understanding the way they behave and their management.

scholarly journals Retroperitoneal Cystic Lymphangioma: About A Case and Review of The Literature

2019 ◽  
Vol 1 (5) ◽  
Author(s):  
El Mahdi Graiouid ◽  
Walid Bai ◽  
Messian Gallouo ◽  
Issam Jandou ◽  
Yassine Larrache ◽  
...  
Keyword(s):  
Clinical Examination ◽  
Lymphatic Vessels ◽  
Cystic Mass ◽  
Cystic Lymphangioma ◽  
Abdominal Distention ◽  
Pathological Examination ◽  
Review Of The Literature ◽  
Surgical Exploration ◽  
Venous Circulation ◽  
Distended Abdomen

Cystic lymphangioma is a rare benign malformative tumor of lymphatic vessels in various locations. We report the observation of a 62-year-old man who had been consulting for major abdominal distention for 5 years. The clinical examination found a very distended abdomen with collateral venous circulation. The imaging was in favor of a cystic retro-peritoneal image. Surgical exploration showed a retroperitoneal cystic mass. Anatomo-pathological examination concluded that retroperitoneal cystic lymphangioma.

The presence of pinworms (Enterobius sp.) in the mesenteric lymph nodes, liver and lungs of a chimpanzee, Pan troglodytes

1990 ◽  
Vol 64 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Guang-Wen Zhang ◽  
Xiang-Rui Ji ◽  
Donald P. McManus
Keyword(s):  
Lymph Nodes ◽  
Blood Vessels ◽  
Pan Troglodytes ◽  
Lymphatic Vessels ◽  
Pathological Findings ◽  
Mesenteric Lymph Nodes ◽  
Mesenteric Lymph

ABSTRACTThis report describes a case of fatal enterobiasis caused by Enterobius sp. in the mesenteric lymph nodes, lymphatic vessels of mesentery, blood vessels of the liver and lungs of a chimpanzee from Qingdao Zoo, China. Based on pathological findings, it is likely that the pinworms obtained access to these organs via the lymphatic or haematogenous pathway. As far as we are aware, this is the first reported case of Enterobius sp. in the mesenteric lymph nodes and blood vessels of the lungs and veins of the hepatic triad in a chimpanzee.

scholarly journals SURGICAL TREATMENT OF CYST OF THE CANAL OF NUCK AND PREVENTION OF LYMPHATIC COMPLICATIONS: A SINGLE-CENTER EXPERIENCE

Lymphology ◽  
2020 ◽  
Vol 52 (3) ◽  
Author(s):  
C Cornacchia ◽  
S Dessalvi ◽  
F Boccardo
Keyword(s):  
Pathological Condition ◽  
Therapeutic Option ◽  
Lymphatic Vessels ◽  
Case Series ◽  
Surgical Excision ◽  
Cystic Mass ◽  
Cystic Lymphangioma ◽  
Single Center Experience ◽  
Preliminary Identification ◽  
Canal Of Nuck

The canal of Nuck is a residue of the peritoneal evagination that runs along the round ligament through the inguinal canal in women. Its partial or total patency can lead to a cystic lymphangioma (CL). CL of the canal of Nuck in an adult female is a rare entity and its clinical diagnosis can be difficult or incorrect. Ultrasonography can be useful to identify the nature of groin masses. A potential CL of the canal of Nuck should always be considered in the differential diagnosis of inguinal swelling in adult females. Even if it is possible to consider conservative treatment, the optimal therapeutic option is surgical excision of the cystic mass and closure of the inguinal ring by an anterior approach. In this study, we report a case series of four women affected by a cyst of the canal of Nuck to underline the surgical treatment's therapeutic role of this pathological condition and the importance of preliminary identification of lymphatic vessels with BPV (Blue Patent Violet) in order to prevent lymphatic injuries such as lymphorrea and lymphocele in the groin after surgery due to the disruption of inguinal lymph nodes and lymphatics.

scholarly journals Cystic mass of the right iliac fossa: don't forget about lymphatic malformation

2020 ◽  
pp. 20200165
Author(s):  
Habib Bellamlih ◽  
Ayman El Farouki ◽  
Rahal Mssrouri ◽  
Sabrine Derqaoui ◽  
Ahmed Jahid ◽  
...  
Keyword(s):  
Iliac Fossa ◽  
Lymphatic Vessels ◽  
Surgical Excision ◽  
Cystic Lymphangioma ◽  
Lymphatic Malformation ◽  
Benign Tumour ◽  
Cystic Tumor ◽  
Palpable Mass ◽  
Complete Surgical Excision ◽  
The Right

Lymphatic malformation or cystic lymphangioma is a benign tumour of the lymphatic vessels. It is more commonly reported among children and has polymorphic clinical presentations. The diagnosis is based on imaging but requires histological confirmation. The treatment of choice is surgical excision for the abdominal and symptomatic localization. We report the case of a 30-year-old female who consulted for right iliac fossa pain mimicking an acute appendicitis. The physical examination revealed a slight tenderness in the right iliac fossa without fever or palpable mass. Though the biological screening was normal, the imaging exploration has revealed the presence of a multiloculated cyst located in the right iliac fossa at the ascending colon and measuring 15 cm. The mass matches with lymphatic malformation. Therefore, a laparoscopy was performed, and complete resection of the cystic tumor was accomplished with right hemicolectomy. The histologic exam has confirmed the diagnosis. Colonic lymphatic malformation is a rare and benign tumour, requiring a complete surgical excision to minimise any recidivism. The definitive diagnosis remains histological.

In situ demonstration of migration of dendritic cells released from rat small intestine to mesenteric lymph nodes

2001 ◽  
Vol 120 (5) ◽  
pp. A183-A183
Author(s):  
H KOBAYASHI ◽  
H NAGATA ◽  
S MIURA ◽  
T AZUMA ◽  
H SUZUKI ◽  
...  
Keyword(s):  
Dendritic Cells ◽  
Small Intestine ◽  
Lymph Nodes ◽  
Rat Small Intestine ◽  
Mesenteric Lymph Nodes ◽  
Mesenteric Lymph

Infrared fluorescence lymphography in experimental and clinical practice

2018 ◽  
Vol 17 (2) ◽  
pp. 84-91 ◽  
Author(s):  
G. V. Papayan ◽  
A. L. Akopov ◽  
P. A. Antonyan ◽  
A. A. Ilin ◽  
N. N. Petrishchev
Keyword(s):  
Lymph Nodes ◽  
Near Infrared ◽  
Lymphatic System ◽  
Lymphatic Vessels ◽  
Diagnostic System ◽  
Biological Tissues ◽  
Peritumoral Injection ◽  
Intradermal Administration ◽  
Nir Fluorescence ◽  
Real Time Visualization

Introduction. Near infrared (NIR) fluorescent diagnostics is promising due to a deeper penetration into biological tissues. Material and methods. In experiments on rabbits and in clinical studies evaluation the lymphatic system with the use of the instrument complex FLUM-808 was analysed. Results. For visualization of the lymphatic vessels of the skin, the intradermal administration of ICG, dissolved in 20 % albumin in the order of 0.02 mg/ml, is optimal. Peritumoral injection of ICG allows visualizing sentinel lymph nodes in patients with lung cancer. Conclusions. The developed NIR fluorescence diagnostic system FLUM-808 allows to real time visualization of lymphatic vessels and lymph nodes.

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