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

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.

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Haraesh Maranna ◽  
Lovenish Bains ◽  
Pawan Lal ◽  
Rahul Bhatia ◽  
Mohd Yasir Beg ◽  
...  

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.


2019 ◽  
Vol 98 (4) ◽  
pp. 178-180

Cavernous hemangiomas are benign tumours of mesodermal origin. Even though various localizations of hemangioma have been described in the literature, its occurrence in the greater omentum is very rare. Only symptomatic hemangiomas are indicated for surgical treatment. There are case reports presenting resection or surgical removal of the greater omentum with hemangioma because of mechanical syndrome, consumption coagulopathy, bleeding, infection or suspicion of a malignancy. This article presents a case report of a patient operated on for a suspicion of carcinomatosis of the greater omentum. Histological examination found hemangiomatosis in the resected greater omentum.


Author(s):  
Tsutomu Namikawa ◽  
Shigeto Shimizu ◽  
Keiichiro Yokota ◽  
Nobuhisa Tanioka ◽  
Masaya Munekage ◽  
...  

2020 ◽  
Vol 157 (5) ◽  
pp. 443-445
Author(s):  
A. Taibi ◽  
S. Derbal ◽  
M. Mathonnet ◽  
S. Durand Fontanier

2017 ◽  
Vol 11 (1) ◽  
pp. 178-183 ◽  
Author(s):  
Kanthi Rekha Badipatla ◽  
Chaitanya Chandrala ◽  
Puvanalingam Ayyadurai ◽  
Madhavi Biyyam ◽  
Binita Sapkota ◽  
...  

Cystic lymphangiomas are benign colonic neoplasms arising from the submucosa. Traditionally, endoscopic resection has been described for smaller lesions, while surgery is reserved for larger symptomatic lesions. We present a case of a 69-year-old asymptomatic individual noted to have a cystic lymphangioma of the colon measuring 5 cm, which was successfully removed with endoloop endoscopic resection without any complications.


2008 ◽  
Vol 122 (11) ◽  
pp. 1260-1264 ◽  
Author(s):  
S L Woolley ◽  
D R K Smith ◽  
S Quine

AbstractObjective:We report an adult case of cystic lymphangioma treated with OK-432 (Picibanil®).Method:A case report and review of the literature concerning the use of OK-432 to treat cystic lymphangioma is presented.Results:A 31-year-old woman developed a cystic lymphangioma four weeks post-partum. This was treated initially by aspiration, for diagnostic purposes. Investigation suggested that surgery would be challenging. A review of the literature demonstrated success with OK-432 in the treatment of this condition, although primarily in the paediatric population. This patient was successfully treated thus, and at the time of writing remained symptom free. A suggested management plan is outlined.Conclusion:Treatment with OK-432 is useful in the management of cystic lymphangiomas in adults and should be considered as first line treatment.


2019 ◽  
Vol 6 (11) ◽  
pp. 4184
Author(s):  
Gopalakrishnan Gunasekaran ◽  
Debasis Naik ◽  
Sakthivel Chinnakkulam Kandhasamy ◽  
Dhirendra Nath Soren

Lymphangiomas are uncommon benign tumours and occur mainly in children with the most common sites being head and neck followed by the axilla and mediastinum. Intra-abdominal lymphangiomas are rare. Clinical presentation is diverse ranging from incidentally discovered abdominal mass to symptoms of acute abdomen. Life threatening complications are more likely to develop in children. We here present a rare case of giant mesenteric cystic lymphangioma causing intra-abdominal catastrophe in an adult.


Author(s):  
Pranav Kumar Dave

Cystic lymphangiomas are rare, congenital, benign lesions occurring early in life, mainly in the head, neck, and oral cavity and rarely in abdominal wall, Due to aberrant proliferation of lymphatic vessels resulting from abnormal development of the lymphatic system. Lymphangiomas are classified as micro cystic, macro cystic, and cystic hygromas according to the size of the lymphatic cavities incorporated. These are soft, variable in size and shape, and tend to grow extensively if not surgically excised. These are multilocular cysts filled with clear or yellow lymph fluid. Histopathologically, lymphangiomas are of three types: Lymphangioma simplex, Cavernous Lymphangioma, and Cystic Hygroma depending on the size of vascular spaces and thickness of the adventitia. The present case report describes a case of cystic lymphangioma of  lower abdominal wall in a 30-year-old male  and its clinical, ultrasonographic / Imaging  features, cytological and histopathological correlation.


2014 ◽  
Vol 2014 ◽  
pp. 1-2
Author(s):  
Teruya Komatsu ◽  
Yutaka Takahashi

We present a case of cystic lymphangioma of the mediastinum complicated with situs inversus totalis. The 70-year-old man underwent thoracoscopic resection of a mediastinal cystic tumor, which was diagnosed as cystic lymphangioma. Cystic lymphangiomas are congenital cystic abnormalities of the lymphatic system. The head and neck area is often involved while the mediastinum is rarely affected. The rarity of this case is further attributed to the coexistence of situs inversus totalis.


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