scholarly journals Cystic Lymphangioma of the Colon: Endoscopic Removal beyond the Frontiers of Size

2017 ◽  
Vol 11 (1) ◽  
pp. 178-183 ◽  
Author(s):  
Kanthi Rekha Badipatla ◽  
Chaitanya Chandrala ◽  
Puvanalingam Ayyadurai ◽  
Madhavi Biyyam ◽  
Binita Sapkota ◽  
...  
Keyword(s):  
Endoscopic Resection ◽  
Colonic Neoplasms ◽  
Cystic Lymphangioma ◽  
Endoscopic Removal ◽  
Asymptomatic Individual ◽  
Cystic Lymphangiomas

Cystic lymphangiomas are benign colonic neoplasms arising from the submucosa. Traditionally, endoscopic resection has been described for smaller lesions, while surgery is reserved for larger symptomatic lesions. We present a case of a 69-year-old asymptomatic individual noted to have a cystic lymphangioma of the colon measuring 5 cm, which was successfully removed with endoloop endoscopic resection without any complications.

scholarly journals Magnification endoscopy in combination with acetic acid enhancement and narrow-band imaging for the accurate diagnosis of colonic neoplasms

2020 ◽  
Vol 08 (04) ◽  
pp. E488-E497
Author(s):  
Kotaro Shibagaki ◽  
Norihisa Ishimura ◽  
Takafumi Yuki ◽  
Hideaki Taniguchi ◽  
Masahito Aimi ◽  
...  
Keyword(s):  
Acetic Acid ◽  
Diagnostic Accuracy ◽  
Endoscopic Resection ◽  
Narrow Band ◽  
Narrow Band Imaging ◽  
Colonic Neoplasms ◽  
High Accuracy ◽  
Colorectal Polyps ◽  
Histologic Diagnosis ◽  
Magnification Endoscopy

Abstract Background and study aims Magnification endoscopy with narrow-band imaging (NBIME) and NBIME with acetic acid enhancement (A-NBIME) enable visualization of the vascular and microstructural patterns of colorectal polyp. We compared the diagnostic accuracy and reproducibility of white light endoscopy (WLE), NBIME, and A-NBIME for predictive histologic diagnosis. Patients and methods Consecutive colorectal polyps (N = 628; 38 hyperplasias, 488 adenomas, 72 M-SM1 cancers, and 30 SM2 cancers) were photographed with WLE, NBIME, and A-NBIME. Endoscopic images were independently reviewed by three experts, according to the traditional criteria for WLE, the Japan NBI Expert Team classification for NBIME, and pit pattern classification for A-NBIME to compare diagnostic accuracy and interobserver diagnostic agreement among modalities. Results The specificity (95 % confidence interval) of hyperplasia and SM2 cancer with WLE were 98.2 % (96.8 %–99.1%) and 99.4 % (98.5 %–99.9 %), respectively, showing high accuracy for endoscopic resection without magnifying observation. Diagnostic accuracy of WLE, NBIME, and A-NBIME was 80.8 % (77.4 %–83.8 %), 79.3 % (75.9 %–82.4 %), and 86.1 % (83.2 %–88.7 %), respectively, showing the highest accuracy for A-NBIME among modalities (P < .05). NBIME showed a lower PPV for M-SM1 cancer (P < .05), as with WLE (P = .08) compared to A-NBIME. Fleiss’s kappa values for WLE, NBIME, and A-NBIME diagnosis were 0.43 (0.39 – 0.46), 0.52 (0.49 – 0.56) and 0.65 (0.62 – 0.69), respectively, showing insufficient reproducibility of WLE and superiority of A-NBIME among modalities. Conclusion WLE showed high accuracy for endoscopic resection of colorectal polyps in expert diagnosis. NBIME demonstrated a higher diagnostic reproducibility than WLE. A-NBIME showed possible superiority among modalities in both diagnostic accuracy and reproducibility.

Adult cystic hygroma: successful use of OK-432 (Picibanil®)

2008 ◽  
Vol 122 (11) ◽  
pp. 1260-1264 ◽  
Author(s):  
S L Woolley ◽  
D R K Smith ◽  
S Quine
Keyword(s):  
Post Partum ◽  
Paediatric Population ◽  
Cystic Hygroma ◽  
Management Plan ◽  
Cystic Lymphangioma ◽  
Review Of The Literature ◽  
Adult Case ◽  
First Line ◽  
Cystic Lymphangiomas ◽  
First Line Treatment

AbstractObjective:We report an adult case of cystic lymphangioma treated with OK-432 (Picibanil®).Method:A case report and review of the literature concerning the use of OK-432 to treat cystic lymphangioma is presented.Results:A 31-year-old woman developed a cystic lymphangioma four weeks post-partum. This was treated initially by aspiration, for diagnostic purposes. Investigation suggested that surgery would be challenging. A review of the literature demonstrated success with OK-432 in the treatment of this condition, although primarily in the paediatric population. This patient was successfully treated thus, and at the time of writing remained symptom free. A suggested management plan is outlined.Conclusion:Treatment with OK-432 is useful in the management of cystic lymphangiomas in adults and should be considered as first line treatment.

scholarly journals Cystic lymphangioma of abdominal wall in an adult,Rare site of occurance

2020 ◽  
Vol 4 (10) ◽  
Author(s):  
Pranav Kumar Dave
Keyword(s):  
Abdominal Wall ◽  
Lymphatic Vessels ◽  
Cystic Hygroma ◽  
Cystic Lymphangioma ◽  
Abnormal Development ◽  
Imaging Features ◽  
Present Case Report ◽  
Histopathological Correlation ◽  
Cystic Lymphangiomas ◽  
Rare Site

Cystic lymphangiomas are rare, congenital, benign lesions occurring early in life, mainly in the head, neck, and oral cavity and rarely in abdominal wall, Due to aberrant proliferation of lymphatic vessels resulting from abnormal development of the lymphatic system. Lymphangiomas are classified as micro cystic, macro cystic, and cystic hygromas according to the size of the lymphatic cavities incorporated. These are soft, variable in size and shape, and tend to grow extensively if not surgically excised. These are multilocular cysts filled with clear or yellow lymph fluid. Histopathologically, lymphangiomas are of three types: Lymphangioma simplex, Cavernous Lymphangioma, and Cystic Hygroma depending on the size of vascular spaces and thickness of the adventitia. The present case report describes a case of cystic lymphangioma of  lower abdominal wall in a 30-year-old male  and its clinical, ultrasonographic / Imaging  features, cytological and histopathological correlation.

scholarly journals Endoscopic resection of a low-grade ependymoma of the pineal region

2021 ◽  
Vol 12 ◽  
pp. 279
Author(s):  
Claudio Schonauer ◽  
Gianpaolo Jannelli ◽  
Enrico Tessitore ◽  
Adrien Thomas May ◽  
Ramona Guatta ◽  
...  
Keyword(s):  
Endoscopic Resection ◽  
Continuous Wave ◽  
Obstructive Hydrocephalus ◽  
External Ventricular Drain ◽  
Residual Tumor ◽  
Third Ventriculostomy ◽  
Low Grade ◽  
Endoscopic Removal ◽  
Transcallosal Approach ◽  
Frontal Horn

Background: Full endoscopic resection of solid brain tumors represents a challenge for neurosurgeons. This can be achieved with modern technology and advanced surgical tools. Case Description: A 23-years-old male was referred to our unit with raised intracranial pressure. Head computed tomography and magnetic resonance imaging (MRI) revealed obstructive hydrocephalus and a third ventricle lesion. Endoscopic third ventriculostomy and biopsy were performed, a left frontal external ventricular drain was left in place. A second-look surgery for endoscopic removal was planned. Decision to proceed with an endoscopic removal was supported by the following characteristics found during the first surgery: tumor exophytic, soft texture, scarce vascularity, and low-grade appearance. A rescue strategy for microscopic resection via transcallosal approach was decided. A straight trajectory to the tumor was planned with navigation. A further anterior left frontal burr-hole was performed, and the ventricular system was entered via the left frontal horn. Resection was carried out alternating laser for hemostasis and cutting, endoscopic ultrasonic aspirator, and endoscopic forceps for piecemeal resection. Laser hemostasis and cutting (1 Watt power at tip, continuous wave mode) were useful at the ventricular wall-tumor interface. Relevant landmarks guided the approach and the resection (foramen of Monro, mammillary bodies, aqueduct, pineal and suprapineal recess, and posterior commissure). The surgery was carried uneventfully. Histopathology confirmed a lowgrade ependymoma. Post-operative MRI showed residual tumor within the lower aqueduct. At 3 years follow-up, residual tumor is stable. Conclusion: In selected cases, endoscopic resection for third ventricular tumors is feasible and safe, and represents a valid alternative to microsurgical approaches.

scholarly journals Mediastinal Cystic Lymphangioma in a Patient with Situs Inversus Totalis

2014 ◽  
Vol 2014 ◽  
pp. 1-2
Author(s):  
Teruya Komatsu ◽  
Yutaka Takahashi
Keyword(s):  
Head And Neck ◽  
Situs Inversus ◽  
Lymphatic System ◽  
Situs Inversus Totalis ◽  
Cystic Lymphangioma ◽  
Cystic Tumor ◽  
Thoracoscopic Resection ◽  
Cystic Lymphangiomas ◽  
Neck Area

We present a case of cystic lymphangioma of the mediastinum complicated with situs inversus totalis. The 70-year-old man underwent thoracoscopic resection of a mediastinal cystic tumor, which was diagnosed as cystic lymphangioma. Cystic lymphangiomas are congenital cystic abnormalities of the lymphatic system. The head and neck area is often involved while the mediastinum is rarely affected. The rarity of this case is further attributed to the coexistence of situs inversus totalis.

Completely endoscopic resection of intraparenchymal brain tumors

2009 ◽  
Vol 110 (1) ◽  
pp. 116-123 ◽  
Author(s):  
Amin B. Kassam ◽  
Johnathan A. Engh ◽  
Arlan H. Mintz ◽  
Daniel M. Prevedello
Keyword(s):  
Endoscopic Resection ◽  
Image Guidance ◽  
Brain Lesion ◽  
Tumor Resection ◽  
Residual Tumor ◽  
Neurological Deficits ◽  
Endoscopic Removal ◽  
Cavernous Malformations ◽  
Novel Technique ◽  
Brain Tumor Resection

Object The authors introduce a novel technique of intraparenchymal brain tumor resection using a rod lens endoscope and parallel instrumentation via a transparent conduit. Methods Over a 4-year period, 21 patients underwent completely endoscopic removal of a subcortical brain lesion by means of a transparent conduit. Image guidance was used to direct the cannulation and resection of all lesions. Postoperative MR imaging or CT was performed to assess for residual tumor in all patients, and all patients were followed up postoperatively to assess for new neurological deficits or other surgical complications. Results The histopathological findings were as follows: 12 metastases, 5 glioblastomas, 3 cavernous malformations, and 1 hemangioblastoma. Total radiographically confirmed resection was achieved in 8 cases, near-total in 6 cases, and subtotal in 7 cases. There were no perioperative deaths. Complications included 1 infection and 1 pulmonary embolus. There were no postoperative hematomas, no postoperative seizures, and no worsened neurological deficits in the immediate postoperative period. Conclusions Fully endoscopic resection may be a technically feasible method of resection for selected subcortical masses. Further experience with this technique will help to determine its applicability and safety.

scholarly journals A case of a giant cystic lymphangioma mimicking acute appendicitis

2012 ◽  
Vol 94 (1) ◽  
pp. e24-e25 ◽  
Author(s):  
A Eisawi ◽  
M Otter ◽  
M Asha ◽  
A Al-Temimi
Keyword(s):  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Relevant Literature ◽  
Cystic Lymphangioma ◽  
Cystic Lymphangiomas ◽  
Rare Tumours ◽  
Wide Range

Cystic lymphangiomas are rare tumours that can mimic various causes of acute abdomen including appendicitis. They exhibit variations in two characteristics on presentation: they can arise from a wide range of organs including various intra-abdominal structures and they can have a wide variation in size on presentation. We report a case of a gigantic cystic lymphangioma presenting as an acute abdomen closely mimicking acute appendicitis and we conduct a review of the relevant literature.

scholarly journals Omental cyst presenting as tubercular ascites

2010 ◽  
Vol 4 (03) ◽  
pp. 183-186 ◽  
Author(s):  
Neha Joshi ◽  
Sangeeta Yadav ◽  
Bijender Singh ◽  
Aashima Gupta
Keyword(s):  
Adenosine Deaminase ◽  
Economic Burden ◽  
Diagnostic Procedures ◽  
Cystic Lymphangioma ◽  
Greater Omentum ◽  
Cystic Lymphangiomas ◽  
Resource Poor ◽  
Omental Cyst ◽  
Vascular Origin ◽  
Benign Tumours

Cystic lymphangiomas are uncommon congenital benign tumours of vascular origin with a lymphatic differentiation originating across various anatomical locations. Large intrabdominal cysts may mimic ascites. We report the case of a one-and-a-half-year-old male child with a giant cystic lymphangioma originating in the greater omentum presenting as tubercular ascites. This report aims to highlight the limitations of biochemical investigations such as ascitic adenosine deaminase (ADA) in differentiating the epidemiologically prevalent tubercular ascites from an intrabdominal cyst, especially in a resource-poor nation as ours, where invasive diagnostic procedures pose an economic burden.

scholarly journals Cystic Lymphangioma: Are Triglycerides Always Measurable?

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Silke François ◽  
Manuella Martin ◽  
Olivier Costa ◽  
Daniel Urbain ◽  
Fazia Mana
Keyword(s):  
Fatty Acids ◽  
Case Report ◽  
Fine Needle Aspiration ◽  
Pancreatic Cyst ◽  
False Negative ◽  
Needle Aspiration ◽  
Cystic Lymphangioma ◽  
Fine Needle ◽  
Color Development ◽  
Cystic Lymphangiomas

The presence of chylous fluid with high triglycerides levels on endoscopic ultrasound- (EUS-) guided fine needle aspiration (FNA) is very pathognomonic for the diagnosis of cystic lymphangiomas of the pancreas. In our case report the puncture of the pancreatic cyst showed a typical milky fluid though measurable triglyceride concentrations were absent in the laboratory. Two possible explanations were found. First of all grossly lipemic samples show a slower rate of color development than do clear serums which can produce a false negative result if the sample is insufficiently diluted. Secondly, high lipase levels can divide triglycerides in glycerol and fatty acids, making the concentration of triglycerides undetectable.

scholarly journals Pathological Discrepancy: Simple Mesenteric Cyst vs. Mesenteric Lymphangioma

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Vygintas Aliukonis ◽  
Marius Lasinskas ◽  
Algirdas Pilvelis ◽  
Audrius Gradauskas
Keyword(s):  
Histological Finding ◽  
Cystic Lymphangioma ◽  
Mesenteric Cyst ◽  
Histological Structure ◽  
Complete Excision ◽  
Case Presentation ◽  
Mesenteric Lymphangioma ◽  
Cystic Lymphangiomas ◽  
Mesothelial Cyst ◽  
Mesenteric Cysts

Introduction. Both mesenteric cysts and cystic lymphangiomas are scarce and clinically and radiologically almost identical derivatives, but their histological structure is fundamentally different. Case Presentation. A 52-year-old woman was consulted by a surgeon for a derivative felt in her abdomen. The patient said she felt a growing derivative in the abdomen about a month ago. After consulting and testing, a sigmoid colon mesenteric cyst ( 13   cm × 11   cm × 10   cm ) was found. Complete excision of the cyst within healthy tissues was performed through laparotomy. The surgery had no complications. The initial pathological answer was a simple mesothelial cyst (a rare histological finding). However, immunohistochemical tests were performed that showed that diagnosis was mesenteric cystic lymphangioma (ML). Cystic lymphangiomas that have a link to the mesentery have been described less than 200 times. Conclusions. Final differential diagnosis between different cystic derivatives is possible only based on histopathological examinations. Mesenteric lymphangioma is most common at a very young age, but in rare cases, it also occurs in adults. All clinicians should increase their awareness of the disease.

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