Transabdominal laparoscopic excision of a giant retroperitoneal lymphangioma

Authors

Keywords:

laparoscopic surgery, retroperitoneal lymphangioma, transabdominal approach, cystic tumour, minimally invasive surgery

Abstract

Retroperitoneal lymphangioma is exceptionally rare. We present a case of a 41-year-old asymptomatic patient with a large abdominal cystic mass detected on contrast-enhanced computed tomography (CT) scan, initially suspected to be pseudomyxoma peritonei. Laparoscopic exploration revealed a 30 x 30 cm multilocular cystic tumour originating from the retroperitoneum. The tumour was successfully resected laparoscopically, and pathological analysis confirmed a lymphangioma. The patient recovered well with no recurrence over five years. For uncertain tumour types, transabdominal laparoscopic exploration should be prioritised. For treating retroperitoneal lymphangiomas with the origin in the retroperitoneum and a main body in the abdominal cavity, the transabdominal laparoscopic approach is a less invasive and effective treatment option.

Author Biographies

J Liang, Shandong Provincial Third Hospital

Department of Rehabilitation Medicine, Shandong Provincial Third Hospital, China

Q Liu, Shandong Second Medical University

School of Clinical Medicine, Shandong Second Medical University, China

D Zhao, Affiliated Central Hospital of Shandong First Medical University

Department of Pathology, Affiliated Central Hospital of Shandong First Medical University, China

G Yu, Central Hospital Affiliated to Shandong First Medical University

Department of Gastrointestinal Surgery, Central Hospital Affiliated to Shandong First Medical University, China

X Shi, Central Hospital Affiliated to Shandong First Medical University

Department of Gastrointestinal Surgery, Central Hospital Affiliated to Shandong First Medical University, China

H Zhang, Central Hospital Affiliated to Shandong First Medical University

Department of Gastrointestinal Surgery, Central Hospital Affiliated to Shandong First Medical University, China

L Zhang, Central Hospital Affiliated to Shandong First Medical University

Department of Gastrointestinal Surgery, Central Hospital Affiliated to Shandong First Medical University, China

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Published

2024-12-04

Issue

Section

Case Report