Frontiers in Oncology (Nov 2022)

Case report: A mesocolic lymphangioma in a 14-year-old child resected by laparoscopic surgery

  • Xuping Feng,
  • Xuping Feng,
  • Xinyang Chen,
  • Qingbo Feng,
  • Qingbo Feng,
  • Xiaoyin Liu,
  • Hancong Li,
  • Hao Chen,
  • Hao Chen,
  • Zhaolun Cai,
  • Jiaxin Li,
  • Jiaxin Li,
  • Jiaxin Li

DOI
https://doi.org/10.3389/fonc.2022.1034563
Journal volume & issue
Vol. 12

Abstract

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IntroductionCystic lymphangioma is a benign malformation tumor of the lymphatic system. Its location is variable, and mesocolic localization remains extremely rare.Case presentationWe report a case of right mesocolon giant cystic lymphangioma in a previously healthy 14-year-old boy who was successfully managed through a minimally invasive laparoscopic excision. The patient presented with 8 months of dull abdominal pain, sporadic, located on the peri-umbilicus, exacerbated for a month. An abdominal computed tomography (CT) revealed a large, multiseptated cystic mass on the right mesocolon. Right mesocolic excision using a laparoscope was performed on this patient. He was discharged on the fifth day without complications. Recurrence was not detected in three months of follow-up.ConclusionCystic lymphangiomas in the mesocolon are rare benign neoplasms that pose diagnostic challenges. Complete resection is the optimal option for diagnostic confirmation and recurrence prevention. Laparoscopic surgery is feasible for children with mesocolic lymphangioma.

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