Abdominal cystic lymphangioma. A case report

Abstract

Introduction. Cystic lymphangiomas are benign tumors that are most prevalent in children in the head and neck region. Abdominal location of these tumors in adults is rare. Radical surgery is the treatment of choice.
Case presentation. We present a diagnostic and therapeutic approach to cystic lymphangioma. A 20-year-old male patient was diagnosed with an extensive multicystic lesion involving the hepatic hilum, hepatoduodenal ligament, aorta and inferior vena cava. Histological examination confirmed the diagnosis of cystic lymphangioma. Non-radical resection was performed as it was impossible to dissect the lesion from large vessels. The patient underwent a consecutive follow-up.
Results. An increase in residual lesions was not observed during a 7-year follow-up. No clinical manifestations were reported.
Conclusions. Non-radical resection can be considered in the case of cystic lymphangioma if total tumor resection is associated with a high risk of serious intra- and postoperative complications.