An acute presentation of pediatric mesenteric lymphangioma: a case report and literature overview

Clement, Céline; Snoekx, Rob; Ceulemans, Pieter; Wyn, Inez; Mathei, J.

doi:10.1080/00015458.2017.1379802

Cited by 10 publications

(3 citation statements)

References 14 publications

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“…A Hodgkin lymphoma that originated from a mediastinal cystic lymphangioma has been described in one incidence. 12 Herein, in our cases we have described clinical manifestation, confirmatory diagnosis, and surgical treatment of the lymphangioma cases presented at the Regional Paediatrics Hospital of Grodno, Belarus.…”

Section: Discussionmentioning

confidence: 97%

Interesting surgical cases of mesenteric cystic lymphangioma

Glutkin,

Khartanovich,

Patel

2023

Int J Contemp Pediatr

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Mesenteric cystic lymphangioma involving the gastrointestinal tract is uncommon in infants and children. It is a benign tumor due to abnormal formation lymphatic system. These tumors exhibit symptoms varying in site and size of localization. Usually, symptoms are manifested by acute abdominal pain, intestinal obstruction, rising body temperature, and diarrhea. Lymphangioma can easily misdiagnose with other conditions like intestinal obstruction, acute appendicitis, or ovarian cyst in a female child. Therapeutic interventions such as fibrin glue, steroids, bleomycin, OK-432, and laparoscopic-assisted surgery are available. From 2018 to 2022, the Regional Paediatrics Hospital of Grodno, Belarus has recorded two cases of mesenteric lymphangioma. Both were emergency cases. In this scientific paper, we have described a surgical approach with improved outcomes. In both cases, surgical resection of lymphangioma that was rooted alongside the ileum was done. We used laparotomy in our surgical procedure, however, the approach was different, one being lower median laparotomy and another being a transrectal approach. Post-operatively patients were in satisfactory condition. Even though mesenteric lymphangioma is a benign condition, it should be immediately diagnosed and surgically managed to avoid morbidity, and mortality due to an increase in size that can fatally compress the adjacent organs impairing the function of an organ and complications like intestinal obstruction and bleeding. Our approaches with case-1 and case-2, both resulted in effective surgical and post-surgical outcomes. But more data is required to make a population-based influence depending on our approach.

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Section: Discussionmentioning

confidence: 97%

Interesting surgical cases of mesenteric cystic lymphangioma

Glutkin,

Khartanovich,

Patel

2023

Int J Contemp Pediatr

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“…La aspiración con aguja fina del líquido quístico, permite diferenciarlo de los malignos, mediante el análisis de las características citológicas y bioquímicas [15].Para confirmar su diagnóstico histopatológico nos basamos en 3 criterios microscópicos: formación quística, septos formados por un estroma conectivo con tejido linfoide y músculo estriado y finalmente el endotelio linfático en estudios de inmunohistoquímica da positivo con el marcador D2-40, específico para la detección de linfangiogénesis e invasión de vasos linfáticos. Otros estudios inmunohistoquímicos positivos para el diagnóstico de linfangioma mesentérico son: el antígeno relacionado con el factor VIII, marcador de epitelio linfático CD34, calretinina y melanoma humano negro-45 [2][3][4][5]16]. En nuestro caso se cumplieron los 3 criterios histopatológicos planteados para diagnóstico de linfangioma quístico.…”

Section: Discussionunclassified

“…El linfangioma mesentérico es un tumor quístico congénito, benigno y raro de los vasos linfáticos, que se presenta en menos del 5% de los casos a nivel abdominal; la mayoría se presentan a nivel cervical (75%) y axilar (20%). Se presentan con mayor frecuencia durante la infancia [1][2][3]. Su fisiopatología es poco conocida; se plantea que, existe un defecto congénito en la conexión entre los espacios linfáticos primarios y el sistema colector central, los vasos obstruidos se dilatan progresivamente formando una masa de múltiples vasos intercomunicantes que contienen líquido linfático.…”

Section: Introductionunclassified

Reporte de Caso Clínico: Linfangioma quístico de epiplón

et al. 2021

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BACKGROUND: Mesenteric lymphangioma is a rare, benign congenital cystic tumor of the lym-phatic vessels, which occurs in less than 5% pf the cases at the abdomen. They appear most often during childhood. This tumor should be considered as a differential diagnosis of acute abdomen and other abdominal masses. CASE REPORT: A 6-year-old boy presented with abdominal pain and peritonism. He presented a low-grade fever, a positive rebound sign, as well as leukocytosis and neutrophilia. Ultrasono-graphy showed abundant free fluid in abdomen and pelvis. EVOLUTION: Exploratory laparotomy was performed, finding a cystic mass dependent on the greater omentum, this mass was resected. Histopathology was negative for malignancy and compatible with cystic lymphangioma, immunohistochemistry was positive for D2-40 marker. The patient evolved favorably without surgical complications and without evidence of recurrence up to one year of follow-up. CONCLUSION: Mesenteric cystic lymphangioma can present with symptoms of acute abdomen, it can also have a chronic evolution. Complete resection is the treatment of choice, currently minimally invasive procedures are performed with favorable results. Ultrasound is useful for long-term follow-up.

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