A 61-year-old woman with jejunal lymphatic malformation visualized on computed tomography: a case report

Journal of Medical Case Reports

Jill Tseng¹  Caleb Cheng²  Thanh-Lan Bui³  Mark Rupasinghe³  Chantal Chahine³  Roozbeh Houshyar³  Justin Glavis-Bloom³ 

[1] Department of Obstetrics and Gynecology, University of California Irvine, 333 City Boulevard West, Suite 1400, 92868, Orange, CA, USA;Department of Pathology & Laboratory Medicine, University of California Irvine School of Medicine, 92697, Irvine, CA, USA;Department of Radiological Sciences, University of California Irvine, 101 The City Drive South, Route 140, 92868, Orange, CA, USA;

关键词: Lymphatic malformation;    Cytoreduction surgical procedures;    Diagnostic imaging;   

DOI  :  10.1186/s13256-021-02872-9

来源: Springer

【 摘 要 】

BackgroundJejunal lymphatic malformations are congenital lesions that are seldom diagnosed in adults and rarely seen on imaging.Case presentationA 61-year-old Caucasian woman was initially diagnosed and treated for mucinous ovarian carcinoma. After an exploratory laparotomy with left salpingo-oophorectomy, a computed tomography scan of the abdomen and pelvis demonstrated suspicious fluid-containing lesions involving a segment of jejunum and adjacent mesentery. Resection of the lesion during subsequent debulking surgery revealed that the lesion seen on imaging was a jejunal lymphatic malformation and not a cancerous implant.ConclusionsAbdominal lymphatic malformations are difficult to diagnose solely on imaging but should remain on the differential in adult cancer patients with persistent cystic abdominal lesions despite chemotherapy and must be differentiated from metastatic implants.

【 授权许可】

CC BY