Resumo
Hepatic lymphangioma developed from a malformation that blocks the lymphatic system of a given area of the liver is a rare benign tumor observed most often in children and adolescents. The authors report and discuss a case of cystic lymphangioma of the liver in a 65 years old female patient, from a region where hydatid disease is endemic, with a complaint of epigastric pain, nausea, and vomiting. The patient presented a non-pulsatile mass, with severe pain at palpation in the epigastric region, The diagnostic investigation revealed a large cystic lesion in the left lobe of the liver; and she was submitted to bisegmentectomy II and III, which showed a hepatic lymphangioma. Considering the progressive character of this lesion, it should be carefully evaluated, since the removal of the lymphangioma is a safe, curative procedure.
Hepatic lymphangioma; Hepatic cyst; Benign tumor of the liver
Hepatic lymphangioma; Hepatic cyst; Benign tumor of the liver
RELATOS DE CASOS
Linfangioma cístico do fígado
Cystic lymphangioma of the liver
Fábio Luiz Waechter, ACBC-RSI; José Artur SampaioI; Luiz Pereira-Lima, TCBC-RSII
ICirurgião Assistente do Programa de Transplante Hepático Adulto do HCPA
IIProfessor e Chefe do Programa de Transplante Hepático Adulto do HCPA
Endereço para correspondência Endereço para correspondência: Dr. Fábio Luiz Waechter HBP - Centro de Afecções Hepatobiliopancreáticas e Transplantes Rua Ramiro Barcelos 910/605 90035-001 - Porto Alegre RS E-mail: waechter@2AZ.com.br
ABSTRACT
Hepatic lymphangioma developed from a malformation that blocks the lymphatic system of a given area of the liver is a rare benign tumor observed most often in children and adolescents. The authors report and discuss a case of cystic lymphangioma of the liver in a 65 years old female patient, from a region where hydatid disease is endemic, with a complaint of epigastric pain, nausea, and vomiting. The patient presented a non-pulsatile mass, with severe pain at palpation in the epigastric region, The diagnostic investigation revealed a large cystic lesion in the left lobe of the liver; and she was submitted to bisegmentectomy II and III, which showed a hepatic lymphangioma. Considering the progressive character of this lesion, it should be carefully evaluated, since the removal of the lymphangioma is a safe, curative procedure.
Key words: Hepatic lymphangioma; Hepatic cyst; Benign tumor of the liver.
Texto completo disponível apenas em PDF.
Full text available only in PDF format.
Recebido em 5/4/99
Aceito para publicação em 25/10/99
Trabalho realizado no Programa de Transplante Hepático Adulto do Hospital de Clínicas de Porto Alegre (HCPA) e Departamento de Cirurgia da Universidade Federal do Rio Grande do Sul.
- 1. Delamarre J, Lamblin G, Sevestre H, et al. Lymphangiome caverneux du foie. Etude de 2 cas et revue de la literature. Gastroenterol Clin Biol 1990;14:576-580.
- 2. Stavropoulos M, Vagianos C, Scopa CD, et al. Solitary hepatic Iymphangioma. HPB Surg 1994;8:33-36.
- 3. Ninard B.Tumeur du fois. Paris: Le Francois, 1959. Pg.: 453-455.
- 4. Bill AH, Summer DS. A unified concept of Iymphangioma and cystic hygroma. Surg Gynecol Obstet 1965;120:79-86.
- 5. Adam R, Bismuth H, Castaing D, et al. Repeat hepatectomy for colorectal liver metastases. Ann Surg 1997;225:51-59.
Datas de Publicação
-
Publicação nesta coleção
31 Jul 2009 -
Data do Fascículo
Fev 2000
Histórico
-
Recebido
05 Abr 1999 -
Aceito
25 Out 1999
