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Cystic lymphangioma of the rectus abdominis muscle: an extremely rare clinical entity.

Ammar S, Jallouli M, Ben Dhaou M, Mhiri R - Iran J Pediatr (2014)

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Surgery, Hedi Chaker Hospital, School of Medicine, Sfax University, Sfax, Tunisia.

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Cystic lymphangioma is a rare malformative benign tumor of the lymphatic vessels... Further exploration by MRI showed a polylobed mass, developed at the expense of the rectus abdominis muscle... The authors' experience suggests that most lymphangiomas have a characteristic appearance on MRI... The information obtained with MRI can help in providing a preoperative diagnosis, in planning surgical resection, and in defining recurrence... A total surgical excision, if feasible without a major sacrifice of adjacent organs, can be the best therapeutic option... In our patient complete resection was performed... The anatomopathologic study confirmed the diagnosis... Postoperative course was simple... The presentation of this case draws attention to the possibility of occurrence of such an etiologic lesion in rectus abdominis muscle... We stress the necessity of imaging as a diagnostic tool for this location.

No MeSH data available.


Abdominal MRI: hypersignal mass developed at the expense of the rectus abdominis with a contact with the psoas muscle, the sigmoid colon and the external iliac pedicle
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Figure 1: Abdominal MRI: hypersignal mass developed at the expense of the rectus abdominis with a contact with the psoas muscle, the sigmoid colon and the external iliac pedicle

Mentions: Further exploration by MRI showed a polylobed mass, developed at the expense of the rectus abdominis muscle. It extended to the large muscles of the ipsilateral side, with a hypo-signal T1 and hyper-signal T2. This formation was responsible for ascension of small bowel and came in contact with the external iliac pedicle, the left psoas muscle and the sigmoid without invasion. The MRI appearance was compatible with a cystic lymphangioma. Per operatively, the cystic mass was attached at the rectus abdominis muscle (Fig. 1). Entire dissection and excision of the mass sacrificing a musculofacia piece and a tab of the parietal peritoneum were performed. There was no adhesion with the iliac vessels.


Cystic lymphangioma of the rectus abdominis muscle: an extremely rare clinical entity.

Ammar S, Jallouli M, Ben Dhaou M, Mhiri R - Iran J Pediatr (2014)

Abdominal MRI: hypersignal mass developed at the expense of the rectus abdominis with a contact with the psoas muscle, the sigmoid colon and the external iliac pedicle
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4359427&req=5

Figure 1: Abdominal MRI: hypersignal mass developed at the expense of the rectus abdominis with a contact with the psoas muscle, the sigmoid colon and the external iliac pedicle
Mentions: Further exploration by MRI showed a polylobed mass, developed at the expense of the rectus abdominis muscle. It extended to the large muscles of the ipsilateral side, with a hypo-signal T1 and hyper-signal T2. This formation was responsible for ascension of small bowel and came in contact with the external iliac pedicle, the left psoas muscle and the sigmoid without invasion. The MRI appearance was compatible with a cystic lymphangioma. Per operatively, the cystic mass was attached at the rectus abdominis muscle (Fig. 1). Entire dissection and excision of the mass sacrificing a musculofacia piece and a tab of the parietal peritoneum were performed. There was no adhesion with the iliac vessels.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Surgery, Hedi Chaker Hospital, School of Medicine, Sfax University, Sfax, Tunisia.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Cystic lymphangioma is a rare malformative benign tumor of the lymphatic vessels... Further exploration by MRI showed a polylobed mass, developed at the expense of the rectus abdominis muscle... The authors' experience suggests that most lymphangiomas have a characteristic appearance on MRI... The information obtained with MRI can help in providing a preoperative diagnosis, in planning surgical resection, and in defining recurrence... A total surgical excision, if feasible without a major sacrifice of adjacent organs, can be the best therapeutic option... In our patient complete resection was performed... The anatomopathologic study confirmed the diagnosis... Postoperative course was simple... The presentation of this case draws attention to the possibility of occurrence of such an etiologic lesion in rectus abdominis muscle... We stress the necessity of imaging as a diagnostic tool for this location.

No MeSH data available.