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Large intra-abdominal cystic lymphangioma managed by laparoscopic partial excision and modified drain with no need for open resection
  1. Kay Tai Choy and
  2. Merve Hartslief
  1. Department of Surgery, Cairns Hospital, Cairns North, Queensland, Australia
  1. Correspondence to Dr Kay Tai Choy, kaytai.choy{at}


A 57-year-old woman was referred to the emergency department after a CT scan ordered by her general practitioner to investigate her abdominal pain showed a large cystic mass. The simple cystic appearance with its location in the small bowel mesentery prompted a provisional diagnosis of cystic lymphangioma. However, concerns regarding the size, location and local involvement of neurovascular structures presented a technical surgical challenge. Here we present a case of minimally invasive laparoscopic drainage using a modified Jackson-Pratt drain that avoided a laparotomy and open resection.

  • gastrointestinal surgery
  • radiology
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  • Contributors KTC researched and drafted the manuscript with LLCW’s assistance; and MH provided the overall supervision of this case.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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