Mabrouk Mohamed Yassine, Magouri Oumaima, Madani Ayoub, Guellil Abdelali, Rahou Fatima Zahra, Bouzayan Laila, Taibi Soufiane, Deflaoui Tarik, Jabi Rachid, Bouziane Mohammed
Department of General Surgery, Mohamed VI University Hospital, Oujda, Morocco.
Faculty of Medicine and Pharmacy, Laboratory of Anatomy, Microsurgery and Surgery Experimental and Medical Simulation (LAMCESM), Mohammed 1st University, Oujda, Morocco.
Ann Med Surg (Lond). 2022 Jun 4;78:103917. doi: 10.1016/j.amsu.2022.103917. eCollection 2022 Jun.
Cystic lymphangioma is a benign malformation tumor of the lymphatic system. Its location is variable, and mesenteric localization remains extremely rare.
We describe a rare case of cystic lymphangioma of the mesentery in a 26 years old woman. The diagnosis was suspected following an abdominopelvic computed tomography (CT) and magnetic resonance imaging (MRI), showing a large polylobulated cyst in contact with the stomach, the tail of the pancreas, the spleen, and the antero-external cortex of the left kidney. The patient underwent laparoscopic surgery with a pericystectomy. Pathological examination confirmed the diagnosis of cystic lymphangioma of the mesentery. The patient's postoperative recovery was uneventful. After a Follow up of one year after surgery, there was no evidence of recurrence.
Cystic lymphangioma of the mesentery is a benign malformation tumor of the lymphatic system. Its clinical aspects are very polymorphic; the diagnosis is evoked by radiological imaging but requires pathological confirmation. Surgery is the gold standard in the management of this pathology.
We highlight the importance of radical surgical resection to avoid Cystic lymphangioma complications and minimize the recurrence risk.
囊性淋巴管瘤是一种淋巴系统的良性畸形肿瘤。其位置多变，肠系膜定位极为罕见。
我们描述了一名26岁女性肠系膜囊性淋巴管瘤的罕见病例。在进行腹部盆腔计算机断层扫描（CT）和磁共振成像（MRI）后怀疑该诊断，结果显示一个大的多叶囊肿与胃、胰尾、脾脏及左肾前外侧皮质相连。患者接受了腹腔镜囊肿切除术。病理检查证实为肠系膜囊性淋巴管瘤。患者术后恢复顺利。术后随访一年，无复发迹象。
肠系膜囊性淋巴管瘤是一种淋巴系统的良性畸形肿瘤。其临床症状非常多样；通过放射影像学检查可引发诊断，但需要病理证实。手术是该疾病治疗的金标准。
我们强调了根治性手术切除对于避免囊性淋巴管瘤并发症及降低复发风险的重要性。
