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Minerva Chirurgica 2007 April;62(2):145-7

language: English

Laparoscopic excision of a retroperitoneal cystic lymphangioma in an elderly patient

Trindade E. N., Trindade M. R. M., Boza J. C., Von Diemen V., Ilgenfritz R. B.

1 Department of Surgery Universidade Federal do Rio Grande do Sul, UFRGS
2 Division of Pathology Hospital de Clínicas de Porto Alegre


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A 68-year-old male patient was referred to our hospital due to protrusion and pain in the right iliac fossa. On physical examination a palpable oval tumor was found. Ultrasonography and computed tomography revealed a cystic mass in right iliac fossa. The tumor was successfully excised laparoscopically and histologically diagnosed as cystic lymphangioma. Retroperi-toneal cystic lymphangiomas are rare lesions, most often seen in pediatric patients. Surgical excision is the treatment of choice because of its potential to grow and develop complications, especially due to mass effect. The laparoscopic approach is a safe and effective alternative for treatment of retroperitonial cystic lymphangioma in the elderly.

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