Cystic lymphangioma of the greater omentum coexisting with groin hernia in 2-year-old girl, mimicking intra-abdominal fluid with Nuck’s canal hydrocele
Introduction: Lymphatic cysts are congenital malformations that predominantly occur in the head and neck region. Intra-abdominal lesions are rare and may be present in the mesentery, retroperitoneal space, and greater omentum. When a cyst in the abdominal cavity is suspected, ultrasonography is the...
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Śląski Uniwersytet Medyczny w Katowicach
2025-07-01
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| Series: | Annales Academiae Medicae Silesiensis |
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| Online Access: | https://annales.sum.edu.pl/Cystic-lymphangioma-of-the-greater-omentum-coexisting-with-groin-hernia-in-2-year,203122,0,2.html |
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| author | Michał Pasierbek Maciej Mikulski Wojciech Korlacki |
| author_facet | Michał Pasierbek Maciej Mikulski Wojciech Korlacki |
| author_sort | Michał Pasierbek |
| collection | DOAJ |
| description | Introduction: Lymphatic cysts are congenital malformations that predominantly occur in the head and neck region. Intra-abdominal lesions are rare and may be present in the mesentery, retroperitoneal space, and greater omentum. When a cyst in the abdominal cavity is suspected, ultrasonography is the diagnostic procedure of choice. Radical resection, if feasible, is the preferred treatment, as incomplete excision can lead to recurrence. However, for lesions located in the mesentery and retroperitoneal space, aspiration with the administration of obliterating agents may be a better approach than surgical treatment. In recent years, laparoscopy has become a favorable alternative to laparotomy.
Case report: A 2-year-old girl was referred for surgery due to the presence of fluid in the abdominal cavity along with a coexisting right-sided hydrocele of the canal of Nuck. During the surgical procedure, a large multilocular lesion originating from the greater omentum and extending into the hernia sac of a right inguinal hernia was identified. The cyst was resected laparoscopically, and the inguinal hernia was repaired. Histopathological examination confirmed a lymphatic cyst.
Conclusions: Laparoscopic resection is a safe method for treating a large lymphatic cyst of the greater omentum. |
| format | Article |
| id | doaj-art-a4ce6e179e79495ca7b265e8776234bf |
| institution | DOAJ |
| issn | 1734-025X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Śląski Uniwersytet Medyczny w Katowicach |
| record_format | Article |
| series | Annales Academiae Medicae Silesiensis |
| spelling | doaj-art-a4ce6e179e79495ca7b265e8776234bf2025-08-20T03:11:42ZengŚląski Uniwersytet Medyczny w KatowicachAnnales Academiae Medicae Silesiensis1734-025X2025-07-017920120510.18794/aams/203122Cystic lymphangioma of the greater omentum coexisting with groin hernia in 2-year-old girl, mimicking intra-abdominal fluid with Nuck’s canal hydroceleMichał Pasierbek0https://orcid.org/0000-0003-1215-2776Maciej Mikulski1Wojciech Korlacki2https://orcid.org/0000-0002-2632-3567Department of Children’s Developmental Defects Surgery and Traumatology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland DiaMMed, Nowy Targ, Poland Department of Children’s Developmental Defects Surgery and Traumatology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, PolandIntroduction: Lymphatic cysts are congenital malformations that predominantly occur in the head and neck region. Intra-abdominal lesions are rare and may be present in the mesentery, retroperitoneal space, and greater omentum. When a cyst in the abdominal cavity is suspected, ultrasonography is the diagnostic procedure of choice. Radical resection, if feasible, is the preferred treatment, as incomplete excision can lead to recurrence. However, for lesions located in the mesentery and retroperitoneal space, aspiration with the administration of obliterating agents may be a better approach than surgical treatment. In recent years, laparoscopy has become a favorable alternative to laparotomy. Case report: A 2-year-old girl was referred for surgery due to the presence of fluid in the abdominal cavity along with a coexisting right-sided hydrocele of the canal of Nuck. During the surgical procedure, a large multilocular lesion originating from the greater omentum and extending into the hernia sac of a right inguinal hernia was identified. The cyst was resected laparoscopically, and the inguinal hernia was repaired. Histopathological examination confirmed a lymphatic cyst. Conclusions: Laparoscopic resection is a safe method for treating a large lymphatic cyst of the greater omentum.https://annales.sum.edu.pl/Cystic-lymphangioma-of-the-greater-omentum-coexisting-with-groin-hernia-in-2-year,203122,0,2.htmlcystic lymphangiomagreater omentumnuck's canal hydrocelechildren |
| spellingShingle | Michał Pasierbek Maciej Mikulski Wojciech Korlacki Cystic lymphangioma of the greater omentum coexisting with groin hernia in 2-year-old girl, mimicking intra-abdominal fluid with Nuck’s canal hydrocele Annales Academiae Medicae Silesiensis cystic lymphangioma greater omentum nuck's canal hydrocele children |
| title | Cystic lymphangioma of the greater omentum coexisting with groin hernia in 2-year-old girl, mimicking intra-abdominal fluid with Nuck’s canal hydrocele |
| title_full | Cystic lymphangioma of the greater omentum coexisting with groin hernia in 2-year-old girl, mimicking intra-abdominal fluid with Nuck’s canal hydrocele |
| title_fullStr | Cystic lymphangioma of the greater omentum coexisting with groin hernia in 2-year-old girl, mimicking intra-abdominal fluid with Nuck’s canal hydrocele |
| title_full_unstemmed | Cystic lymphangioma of the greater omentum coexisting with groin hernia in 2-year-old girl, mimicking intra-abdominal fluid with Nuck’s canal hydrocele |
| title_short | Cystic lymphangioma of the greater omentum coexisting with groin hernia in 2-year-old girl, mimicking intra-abdominal fluid with Nuck’s canal hydrocele |
| title_sort | cystic lymphangioma of the greater omentum coexisting with groin hernia in 2 year old girl mimicking intra abdominal fluid with nuck s canal hydrocele |
| topic | cystic lymphangioma greater omentum nuck's canal hydrocele children |
| url | https://annales.sum.edu.pl/Cystic-lymphangioma-of-the-greater-omentum-coexisting-with-groin-hernia-in-2-year,203122,0,2.html |
| work_keys_str_mv | AT michałpasierbek cysticlymphangiomaofthegreateromentumcoexistingwithgroinherniain2yearoldgirlmimickingintraabdominalfluidwithnuckscanalhydrocele AT maciejmikulski cysticlymphangiomaofthegreateromentumcoexistingwithgroinherniain2yearoldgirlmimickingintraabdominalfluidwithnuckscanalhydrocele AT wojciechkorlacki cysticlymphangiomaofthegreateromentumcoexistingwithgroinherniain2yearoldgirlmimickingintraabdominalfluidwithnuckscanalhydrocele |