ABSTRACT
Retroperitoneal location of cystic lymphangiomas in adult patients is rare. Their clinical presentation is not specific. Magnetic resonance imaging is the best radiological exam for the diagnosis. These tumors must be distinguished from mesenteric cysts which are more frequent and can degenerate. The authors report four cases of retroperitoneal cystic lymphangioma with a literature review
Subject(s)
Humans , Male , Female , Retroperitoneal Neoplasms/diagnosis , Adult , Review Literature as Topic , Abdomen/diagnostic imaging , Magnetic Resonance Imaging , Tomography, X-Ray Computed , Mesenteric Cyst , Flank Pain , Abdominal Pain , Diarrhea , Nausea , Vomiting , Dyspepsia , ConstipationABSTRACT
Background The barium enema examination [BEE] is an important diagnostic study and considered to be safe without adverse effects. Perforation of the bowel is rare but is the most frequent complication of BEE and can be life-threatening. We report four cases of barium extravasation due to BEE treated at our institution, three rectal perforations and one perforation in the descending colon. The four patients underwent surgery because signs of peritonitis developed. Two of them recovered and two died from multiple organ failure. Perforation of the colon and rectum during BEE constitutes a surgical emergency in most cases. Prompt recognition and management are vital in decreasing morbidity and mortality