Abstract
Abstract Lymphatic malformations occurring within the abdominal cavity are rare benign lesions predominantly affecting the pediatric population. We report an acute presentation of an unusual and extensive lymphatic malformation, arising in the lesser sac, in a 15-year-old girl. After imaging, the cystic mass was thought to be of adnexal origin. A laparoscopic resection of this presumed adnexal mass was planned. A supra-umbilical, 12-mm trocar was placed by Hasson technique. A 5-mm, 30-degree scope was used to examine the abdominal cavity, revealing a large abdominal cyst that was mobile. Two more 5-mm trocars were then placed in the left lower and right lower quadrant regions. Manipulation of the mass demonstrated a nonpelvic origin and normal adnexae. The mass was connected by a twisted pedicle traveling over the transverse colon through the greater omentum. An omental origin was suspected at this point, but the superior border of the mass could not be delineated. Another 5-mm trocar was placed in the le...
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