Rare Case of Ovarian Cystic Lymphangioma Managed at Laparoscopy

Abstract

Lymphangiomas are rare, usually benign tumors of the lymphatic system. Lymphangiomas may arise in any part of the body. Lymphangioma of the ovary is very rare tumor, which is usually slow-growing, remains asymptomatic for a long time, and identified incidentally at histopathological examination after excision. It is advisable to excise the lesion with microscopically clear margins. Many times, diagnosis becomes difficult because of confusion with malignant ovarian mass, especially in post-menopausal woman. A 72-year-old post-menopausal woman had a symptomatic pelvic mass. Imaging studies demonstrated a complex right ovarian cyst. Laparoscopic total hysterectomy with bilateral salpingo-oophorectomy was performed successfully. Cystic Lymphangioma should be included in the differential diagnosis of an ovarian cystic mass, and laparoscopic excision may be the method of treatment.

Keywords: Laparoscopy; lymphangioma; ovarian cyst; ovary.

Figure 1

Enlarged right ovary without any excrescences or implantation on the peritoneum

Figure 2

Coagulation of right round ligament

Figure 3

Coagulation of right infundibulo-pelvic ligament

Figure 4

Coagulation of left infundibulo-pelvic ligament

Figure 5

Peritoneal biopsy from right paracolic gutter

Figure 6

Peritoneal biopsy from left paracolic gutter

Figure 7

Pelvis after vault closure