Minimally invasive approach for the treatment of Giant retroperitoneal cystic tumors.

Presentation of two cases and literature review.

Authors

DOI:

https://doi.org/10.31053/1853.0605.v78.n3.32759

Keywords:

abdomen, acute, lymphangioma, drainage

Abstract

The primary retroperitoneal tumors are malignant or no malignant neoplasias, which the mesenteric cyst has an uncommon presentation. They have a great histological variety that includes the simple lymphatic cysts or the lymphangiomas which are congenital or acquired tumors whose intra-abdominal localization is unusual. There are three clinical features: incidental, unspecific and acute; and their therapeutic management is determinate by their radiological profile and it involves the preoperative percutaneous drainage in case of huge cysts for decreasing the size of the tumor and getting the radical cystectomy without relapse. This review presents two cases of acute abdominal pain related to huge retroperitoneal cysts resolved by minimally invasive approach and bibliographic review.

Downloads

Download data is not yet available.

Author Biographies

Gonzalo Matías Bono, Rio Cuarto Medical Institute

Physician. General Surgery Resident. Rio Cuarto Medical Institute, Córdoba, Argentina.

Luis Eduardo Maneiro, Rio Cuarto Medical Institute.

Physician. Urology Resident at Río Cuarto Medical Institute, Córdoba, Argentina.

José Esteban Martínez, Rio Cuarto Medical Institute

Physician. Staff surgeon at Rio Cuarto Medical Institute. In charge of the Coloproctology and percutaneous surgery sector.

References

Antunez AL, García MA, Gómez JA, González E, Zamora L. Linfangioma

gigante abdominal como causa de dolor abdominal inespecífico:

presentación de un caso clínico. RIECS, 2017; 2 (2): 46-

doi: 10.37536/RIECS.2017.2.2.36.

Cheng W, Qi Y, Wang B, Tian L, Huang W, Chen Y. Characteristics and

computed tomography evaluation of primary retroperitoneal tumours:

report of 113 cases. Ann R Coll Surg Engl. 2017 Jan;99(1):55-59. doi:

1308/rcsann.2016.0256.

Fang L, Tung-Sun H, Xin-Yi N, Wen-Chin K, Chien-Liang L, JiunnChang L. Surgical management of primary retroperitoneal tumors: Analysis

of a single center experience. Journal of Cancer Research And Practice.

; (4) 1-4. doi:10.1016/j.jcrpr.2017.01.00.

Er A, Kaymakcıoğlu N, Çerci C. Giant abdominal mesenteric cyst. Eur

J Gen Med. 2009;6(3), 189-193. doi: 10.29333/ejgm/82668.

Gil N, Fosado M, Higuera MF, Pérez J, Aguirre J, Pérez E.

Linfangioma retroperitoneal gigante. Presentación de un caso y

revisión de la literatura. Rev Med Hosp Gen Méx. 2012; 75 (2): 110-

Granados JJ, Valderrama AI, Sevilla M. Abordaje de quiste

mesentérico, una entidad no tan infrecuente. Asociación Mexicana de

Cirugía Endoscópica. 2013; 1 (14): 34-7.

Shankar KR, Roche CJ, Carty HM, Turnock RR. Cystic retroperitoneal

lymphangioma: treatment by image-guided percutaneous catheter

drainage and sclerotherapy. Eur Radiol. 2001;11(6):1021-3. doi:

1007/s003300000669.

Suarez-Torres I, Reyna-Villasmil E, Torres-Cepeda D. Linfangioma

mesentérico quístico de intestino delgado simulando tumoración ovárica.

CES Medicina. 2017; 31 (2). doi: 10.21615/ces%20med.v31i2.3739.

Black T, Guy CD, Burbridge RA. Retroperitoneal cystic lymphangioma

diagnosed by endoscopic ultrasound-Guided Fine needle aspiration. Clin

Endosc. 2013; 46(5): 595–7. doi: 10.5946 / ce.2013.46.5.595.

Menéndez P, Padilla D, Villarejo P, Martín J. Recidiva de linfangiomas

quísticos retroperitoneales con dificultad para la exéresis quirúrgica.

¿Existen otras alternativas terapéuticas? [Recurrent of retroperitoneal

cystic lymphangiomas with difficulty for surgical resection. Is there other

therapeutic options?]. Actas Urol Esp. 2010 Oct;34(9):825-6.

Aprea G, Guida F, Canfora A, Ferronetti A, Giugliano A, Ciciriello MB,

Savanelli A, Amato B. Mesenteric cystic lymphangioma in adult: a case

series and review of the literature. BMC Surg. 2013 Sep 16;13(Suppl 1):A4.

doi: 10.1186/1471-2482-13-S1-A4.

Chen J, Du L, Wang DR. Experience in the diagnosis and treatment of

mesenteric lymphangioma in adults: A case report and review of literature.

World J Gastrointest Oncol. 2018 Dec 15;10(12):522-527. doi:

4251/wjgo.v10.i12.522.

Xiao J, Shao Y, Zhu S, He X. Characteristics of adult abdominal cystic

Lymphangioma: a single-center Chinese cohort of 12 cases. BMC

Gastroenterol. 2020 Jul 29;20(1):244. doi: 10.1186/s12876-020-

-8. PMID: 32727377; PMCID: PMC7391610.

Lal A, Gupta P, Singhal M, Sinha SK, Lal S, Rana S, Khandelwal N.

Abdominal lymphatic malformation: Spectrum of imaging findings. Indian J

Radiol Imaging. 2016 Oct-Dec;26(4):423-428. doi: 10.4103/0971-

195777.

Mabrouk M, Barka M, Farhat W, Harrabi F, Azzaza M,

Abdennaceur N., Schaidar A, Mizouni A, Mazhoud J, Ben A. AliIntraAbdominal Cystic Lymphangioma: Report of 21 cases. Journal of

Cancer Therapy. 2015; (6), 572-78. doi:10.4236/jct.2015.67062.

Madsen HJ, Annam A, Harned R, Nakano TA, Larroque LO,

Kulungowski AM. Symptom Resolution and Volumetric Reduction of

Abdominal Lymphatic Malformations With Sclerotherapy. J Surg Res. 2019

Jan;233:256-261. doi: 10.1016/j.jss.2018.07.031.

Kogo H, Matsumoto S, Uchida E. Single-port laparoscopic-assisted

resection for a large abdominal cystic lymphangioma: a case report. Surg

Case Rep. 2018 Aug 13;4(1):92. doi: 10.1186/s40792-018-0501- 9.

Yagihashi Y, Kato K, Nagahama K, Yamamoto M, Kanamuru H. A case

of laparoscopic excision of a huge retroperitoneal cystic lymphangioma.

Case Rep Urol. 2011;2011:712520. doi: 10.1155/2011/712520.

Rabie ME, Hummadi A, AL-Skaini MS, Shah-Skayed AA, Shamshad H,

Jamil S, et al. Mesenteric cysts revisited: An ever-intriguing issue. Saudi

Surgical Journal. 2018; 10(9): 75-89. doi:10.4103 / ssj.ssj_78_17.

Published

2021-09-22

How to Cite

1.
Bono GM, Maneiro LE, Martínez JE. Minimally invasive approach for the treatment of Giant retroperitoneal cystic tumors. : Presentation of two cases and literature review. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2021 Sep. 22 [cited 2024 Jul. 17];78(3):322-5. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/32759

Issue

Section

Case Report