Open AccessLarge intra-abdominal cystic lymphangioma managed by laparoscopic partial excision and modified drain with no need for open resection
Author(s) -
Kay Tai Choy,
Merve Hartslief
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-229227
Subject(s) - medicine , lymphangioma , laparotomy , neurovascular bundle , surgery , mesentery , general surgery , laparoscopy , abdominal pain , radiology
A 57-year-old woman was referred to the emergency department after a CT scan ordered by her general practitioner to investigate her abdominal pain showed a large cystic mass. The simple cystic appearance with its location in the small bowel mesentery prompted a provisional diagnosis of cystic lymphangioma. However, concerns regarding the size, location and local involvement of neurovascular structures presented a technical surgical challenge. Here we present a case of minimally invasive laparoscopic drainage using a modified Jackson-Pratt drain that avoided a laparotomy and open resection.