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Lymphatic Angioma of Mesentery of the Small Intestine - A Case Report

100%
Ratajczak A., Szmeja J., Łukaszuk M., Majewski P.
Polish Journal of Surgery
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2011
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vol. 83
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issue 1
48-50
EN
The authors presented a rare case of lymphatic angioma of mesentery of the small intestine. The patient underwent successful surgery. The study presents clinical symptoms, diagnostic and therapeutic problems in patients with lymphatic angiomas.
2
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Multiannual abdominal pain complicated by obstruction of the gastrointestinal tract in the course of cystic form of mesenteric lymhangioma of the small intestine

80%
Majewski M., Lorenc Z., Krawczyk W.
Polish Journal of Surgery
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2015
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vol. 87
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issue 4
185-188
EN
Lymphangiomas constitute a group of very rare diseases and occur with a frequency of 1/250,000 to 1/20,000 of hospitalizations. Even though they are benign lesions, their complications may turn into a life-threatening condition. They usually occur in children (90%), they are either congenital or they appear before the child’s second birthday. Occassionally they are found in adults. Lymphangiomas are usually localized around neck, but also near armpits and in the groin area. Less than 1% of lymphagiomas are detected in the retroperitoneal space and intestinal mesentery. Vascular lesions derived from lymphatic vessels can be divided into ordinary ones, usually known as capillary, cavernous, and cystic. The cystic tumor (lymphangioma mesenteri) is the least common. It occurs mostly in the retroperitoneal space, mesentery of the colon, or extremely rarely in the mesentery of the small intestine. Preoperative diagnosis is difficult due to non-specific clinical symptoms and noncharacteristic image in the diagnostic tests. Lymphangioma complications, such as intestinal obstruction or perforation, and persistent pain, are the cause of exploratory laparotomy. Final diagnosis requires microscopic examination of material collected during an operation. This article presented the case of a 40-year-old female, operated due to the obstruction of the gastrointestinal tract, in whose case the lymphangioma was recognised in postoperative histopathological examination of the tumor from the jejunal mesentery. Since patients with these tumors have good chances of complete recovery - if there are no serious complications - it appears that the optimal therapeutic procedure should be early surgery, which reduces the possibility of complications.
3
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Gall-Bladder and Hepatoduodenal Ligament Lymphangioma – Case Report and Literature Review

80%
Nazarewski Ł., Patkowski W., Pacho R., Marczewska M., Krawczyk M.
Polish Journal of Surgery
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2013
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vol. 85
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issue 1
39-43
EN
Lymphangiomas are rare benign lesions of the lymphatic vessels that are most commonly diagnosed in childhood. Intraperitoneal localization is unusual as, typically, they are located in the head and neck areas. In general, abdominal lymphangiomas seem to be asymptomatic, however, patients may occasionally suffer from acute abdominal symptoms, due to intestinal obstruction or peritonitis. The study presented a case of a 41-year-old female patient, clinically asymptomatic, who was accidentally diagnosed with a multiseptated cystic lesion of the right liver lobe surrounding the gall-bladder fossa in a routine ultrasound examination. Further examinations including computed tomography and magnetic resonance (MR) aroused suspicion of a polycystic lesion of the gall-bladder and hepatoduodenal ligament. The cystic lesion of the gall-bladder and hepatoduodenal ligament filled with lymphatic fluid was diagnosed intraoperatively. Simultaneous cholecystectomy and radical resection of the cystic lesion was undertaken. The histopathological examination revealed the presence of a lymphangioma. Additionally, the authors of the study reviewed literature data concerning gall-bladder lymphangiomas.
4
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Clinical image. Chylolymphatic mesenteric cyst in a 3-month old infant

70%
Patoulias I., Plikaditi T., Feidantsis T., Ioannidou D., Patoulias D., Patoulias I., Plikaditi T., Feidantsis T., Ioannidou D., Patoulias D.
Folia Medica Cracoviensia
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2020
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vol. 60
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issue 1
5
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Cervical Cystic Hygroma in an Older Adult – a case study

70%
Piłkowski M., Komorski J., Nienartowicz J., Nelke K.
Polski Przegląd Otorynolaryngologiczny
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2021
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vol. 10(2)
54-58
EN
Introduction: Cystic hygromas are very uncommon malformations in adults. In most of the cases, they present as a painless, fluctuant swelling, usually located in the neck region. They tend to grow extensively if not removed. Cystic hygromas can range from 1 mm to several centimeters in size and are filled with clear- to straw-colored fluid. Surgical treatment remains the gold-standard treatment for these tumors. In some cases they can be misdiagnosed with branchial cysts, swollen lymph nodes or other pathologies. When this malformation is present in the prevertebral fascia its surgical treatment is challenging, and some authors advise its conservative treatment, which is in a great risk of its reoccurence. Because of potential malignant transformation in some percentage of branchial cyst cases, a similar situation was suspected. Case report: The present report describes a case of cystic hygroma of the left side of the neck in a 92-year-old female adult and its clinical, radiological and operative features.
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