PMC8311849_01
CT scan of the lymphangioma (marked by open arrows) in right abdomen area. The mass is reaching the right side of abdomen wall, contacting abdominal aorta, vena cava and right common iliac artery, also ileocolic artery and vein.
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fig1
CT scan revealed a clearly defined, hypodensic, cystic, without clear solid components mass, about 11 cm x 10 cm x 6,5 cm, ventrally reaching the right side of abdomen wall, dorsally contacting abdominal aorta, inferior vena cava and right common iliac artery, caudally lying on the ileocolic artery and vein (Fig. 1 and Fig. 2).
A cystic lymph-filled tumor of about 12 cm in diameter on the ileum mesentery. Open arrows indicate lymphangioma, bold arrows indicate the cecum and the ascending colon
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fig3
A cystic lymph-filled tumor about 12 cm in diameter was detected in the abdominal cavity within the mesentery (Fig. 3).
The picture shows the third portion of the duodenum (bold arrow) and the ileocolic and superior mesenteric vessels (open arrows) after the removal of lymphangioma.
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fig4
Right ileocolic artery and vein were freed from the tissues of lymphangioma (Fig. 4).
The picture shows milk-like fluid (open arrow) coming out of the lymphangioma. The fluid color is similar to milk due to the accumulation of lymphocytes.
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fig5
The fluid color is similar to milk due to the accumulation of lymphocytes (Fig. 5).
Cystic tumor structures with lymphoid aggregates. 40x magnification hematoxylin and eosin.
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fig6
Histologically thin-walled cystic tumor structures were separated by areas of adipose tissue with lymphoid aggregates (Fig. 6).
Lining of tumor structures positive for podoplanin (D2-40). 100x magnification.
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fig7
Immunohistochemical examination of the lymphatic endothelial marker podoplanin (D2-40) was positive in the endothelial wall of the cystic tumor (Fig. 7).