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Case Report
First report of robotic-assisted partial gastrectomy of a large lymphatic-venous malformation in a teenager: A case report
1 MD, Pediatric Surgery Research Fellow, Department of Surgery, Loma Linda University Health, Loma Linda, CA, USA
2 MD, Assistant Professor, Division of Pediatric Surgery, Department of Surgery, University of Florida, Gainesville, FL, USA
3 MD, Pediatric Surgery Research Associate, Department of Surgery, Loma Linda University Health, Loma Linda, CA, USA
4 MD, PhD, Associate Professor, Division of Pediatric Surgery, Department of Surgery, Loma Linda University Health, Loma Linda, CA, USA
5 MD, Adjunct Clinical Assistant Professor, Department of Surgery, Indiana University, Indianapolis, IN, USA
6 MD, MS, MBA, Professor, Division of Pediatric Surgery, Department of Surgery, Loma Linda University Health, Loma Linda, CA, USA
Address correspondence to:
Joyce McRae
MD, 11175 Campus Street, CP21111, Loma Linda, CA 92350,
USA
Message to Corresponding Author
Article ID: 100166Z12JM2026
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How to cite this article
McRae J, Raymond SL, Minhas A, Radulescu A, Srikureja D, Tagge E. First report of robotic-assisted partial gastrectomy of a large lymphatic-venous malformation in a teenager: A case report. J Case Rep Images Surg 2026;12(1):5–9.ABSTRACT
Introduction: Gastrointestinal vascular anomalies are rare in children. A subtype, lymphatic-venous malformations, is even rarer. These anomalies can result in serious sequelae such as bleeding. Management of these rare pathologies is challenging and may involve endoscopic, angiographic, or surgical management.
Case Report: We present the case of a 14-year-old female who presented to the hospital after hematemesis and was found to have a gastric vascular malformation. Workup included cross-sectional imaging, endoscopy, and angiography. After multidisciplinary discussion, definitive management was achieved with a robotic-assisted partial gastrectomy with longitudinal gastric closure. The surgical pathology was diagnostic of a lymphatic-venous malformation. No complications occurred in the perioperative period through 10 months of follow-up.
Conclusion: This is the first report of a robotic-assisted partial gastrectomy with supplemental use of indocyanine green and endoscopy for gastric lymphatic-venous malformation. Use of the robotic platform for minimally invasive resection is safe and can be considered for management of this rare pathology.
Keywords: Gastric lymphatic-venous malformation, Pediatric indocyanine green, Pediatric robotic-assisted partial gastrectomy, Pediatric vascular malformation
SUPPORTING INFORMATION
Author Contributions
Joyce McRae - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Steven L Raymond - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Amna Minhas - Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Andrei Radulescu - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Daniel Srikureja - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Edward Tagge - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
AcknowledgmentsArtificial Intelligence was not utilized in the creation or development of this work.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was waived by Institutional Review Board for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2026 Joyce McRae et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
