Case Report
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World J Gastrointest Surg. Oct 27, 2013; 5(10): 264-267
Published online Oct 27, 2013. doi: 10.4240/wjgs.v5.i10.264
Giant cystic lymphangioma originating from the lesser curvature of the stomach
Thijs Ralf van Oudheusden, Simon Willem Nienhuijs, Thomas Bernard Joseph Demeyere, Michael Derek Philip Luyer, Ignace Hubertus Johannes Theodorus de Hingh
Thijs Ralf van Oudheusden, Simon Willem Nienhuijs, Thomas Bernard Joseph Demeyere, Michael Derek Philip Luyer, Ignace Hubertus Johannes Theodorus de Hingh, Department of Surgery, Catharina Hospital, 5623 EJ Eindhoven, The Netherlands
Author contributions: van Oudheusden TR and de Hingh IHJT wrote the manuscript; Demeyere TBJ provided pathology information and histology photos, Nienhuijs SW and Luyer MDP critically reviewed the manuscript for intellectual content.
Correspondence to: Ignace Hubertus Johannes Theodorus de Hingh, MD, PhD, Department of Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands. Ignace.d.hingh@cze.nl
Telephone: +31-40-2396600 Fax: +31-40–2443370
Received: August 11, 2013
Revised: September 11, 2013
Accepted: October 16, 2013
Published online: October 27, 2013
Core Tip

Core tip: A 44-year-old man presented with abdominal distension and unexplained weight loss. Computed tomography scan of the abdomen showed an enormous multilobulated cystic process. Subsequent exploratory laparotomy revealed a cystic mass containing 6 L serous fluid, originating from the lesser curvature of the stomach. Pathological examination of the resected specimen obtained by radical partial gastrectomy indicated multicystic lymphangioma, a rare benign tumor caused by congenital or traumatic defects of lymphatic channels. Although these large tumors can cause mass effect symptoms and result in serious complications, this case had an uneventful recovery and no complaints at 3-mo follow-up.