Giant intra-abdominal lymphatic malformation arising from the cisterna chyli-thoracic duct region in a five-year-old boy: a case report
Abstract
Lymphatic malformations are rare congenital vascular anomalies, and intra-abdominal involvement is uncommon. We report a 5-year-old boy with progressive abdominal distension for more than 6 months and intermittent abdominal pain. Ultrasonography and magnetic resonance imaging demonstrated a giant multiloculated cystic lesion measuring approximately 21 × 13 × 23 cm, occupying most of the abdominal cavity and markedly displacing the abdominal viscera. Because of the lesion size and severely restricted intra-abdominal working space, open surgical excision was performed. Intraoperatively, part of the malformation arose from the cisterna chyli-thoracic duct region and contained inspissated chylous material. Complete excision was achieved without bowel resection. Histopathology and immunohistochemistry confirmed cystic lymphangioma, while a separately submitted lymphatic structure was compatible with the thoracic duct. Recovery was uneventful, with no recurrence during 3 years of follow-up.
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BibTeX
@article{baltogiannis2026giant,
title = {{Giant intra-abdominal lymphatic malformation arising from the cisterna chyli-thoracic duct region in a five-year-old boy: a case report}},
author = {Nikolaos Baltogiannis and Fotini Fili and Melina E Baltogianni},
journal = {Journal of surgical case reports},
year = {2026},
month = oct,
doi = {10.1093/jscr/rjag1002},
url = {https://europepmc.org/article/PMC/PMC13723264},
note = {CC BY},
}
RIS
TY - JOUR
TI - Giant intra-abdominal lymphatic malformation arising from the cisterna chyli-thoracic duct region in a five-year-old boy: a case report
AU - Nikolaos Baltogiannis
AU - Fotini Fili
AU - Melina E Baltogianni
PY - 2026
DA - 2026/10/01
JO - Journal of surgical case reports
DO - 10.1093/jscr/rjag1002
UR - https://europepmc.org/article/PMC/PMC13723264
AB - Lymphatic malformations are rare congenital vascular anomalies, and intra-abdominal involvement is uncommon. We report a 5-year-old boy with progressive abdominal distension for more than 6 months and intermittent abdominal pain. Ultrasonography and magnetic resonance imaging demonstrated a giant multiloculated cystic lesion measuring approximately 21 × 13 × 23 cm, occupying most of the abdominal cavity and markedly displacing the abdominal viscera. Because of the lesion size and severely restricted intra-abdominal working space, open surgical excision was performed. Intraoperatively, part of the malformation arose from the cisterna chyli-thoracic duct region and contained inspissated chylous material. Complete excision was achieved without bowel resection. Histopathology and immunohistochemistry confirmed cystic lymphangioma, while a separately submitted lymphatic structure was compatible with the thoracic duct. Recovery was uneventful, with no recurrence during 3 years of follow-up.
SN - 2042-8812
ER -