Intra-abdominal cystic lymphangioma, in a newborn infant

Brion, Luc P.; Goolaerts, J. P.; Avni, Eitan; Ardichvili, D; Tondeur, Marianne

doi:10.1007/bf00441990

Cited by 3 publications

(2 citation statements)

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“…There are no blood tests which will establish the diagnosis. Radiological investigation usually confirms the presence of a mass and may help to exclude other causes of intra-abdominal masses but is usually insufficient to provide a definite diagnosis [1,5,7]. Plain XR may demonstrate a noncalcified soft-tissue mass or displaced bowel loops and possibly small bowel obstruction [2,5].…”

Section: Discussionmentioning

confidence: 99%

“…In our case, CT images did not show large cystic cavities, however were appreciated low-negative attenuation areas, due to fattychylous component, and some calcifications also. The differential diagnosis mainly includes the other mesenteric cystic lesions, such as multicystic mesothelioma, however, because there are no specific radiologic features and its presentation is unspecific, differentiation requires histological evaluation [1,5,7]. The treatment of choice is complete surgical excision.…”

Section: Discussionmentioning

confidence: 99%

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Lymphangioma of the small bowel mesentery in a 7-year-old girl: a report of a case investigated with ultrasonography, elastosonography and computed tomography

et al. 2014

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Purpose To describe the characteristics of lymphangioma reporting a pediatric case of small bowel mesentery location, showing ultrasound-elastosonographic and computed tomography findings. Methods A 7-year-old girl suffering from vomiting and abdominal pain underwent chest-abdomen radiography and abdomen ultrasound examination at our institution. These exams were repeated for 5 days after medical therapy and a computed tomography investigation was also performed. Results Abdominal ultrasound and computed tomography examinations revealed the presence of a heterogeneous mesenteric mass occupying the right hemiabdomen displacing small bowel loops. Moreover, the mass had an irregular vascularisation pattern on color-Doppler study and appeared mostly green colored, like soft tissues, on elastosonographic colorimetric map. The little patient underwent surgery with removal of both the mass and the close adherent ileal loop. Finally, anatomopathologic diagnosis of mesenteric lymphangioma was made. Conclusions Although mesenteric lymphangioma is a rare disease that presents neither clinical nor imaging typical features requiring invasive procedure to be diagnosed, ultrasound-elastosonographic findings can suggest a benign condition and computed tomography scan is useful in order to plan surgery.Keywords Lymphangioma Á Elastosonography Á Small bowel mesentery Riassunto Scopo descrivere le caratteristiche del linfangioma riportando un caso pediatrico di tumore localizzato nel mesentere del piccolo intestino, descrivendo i reperti alla tomografia computerizzata ed all'ecografia-elastosonografia. Metodi una bambina di 7 anni affetta da vomito e dolore addominale è stata sottoposta a radiografia del toraceaddome ed ecografia addominale presso il nostro istituto. Questi esami sono stati ripetuti cinque giorni dopo la terapia medica ed è stato anche eseguito un esame di tomografia computerizzata. Risultati l'ecografia e la tomografia computerizzata dell'addome hanno rivelato la presenza di una massa mesenterica eterogenea che occupava l'emiaddome di destra spostando le anse del piccolo intestino. Inoltre, la massa presentava un pattern di vascolarizzazione irregolare allo studio color-Doppler ed appariva per lo più di colore verde, come i tessuti molli, alla valutazione elastosonografica. La piccola paziente è stata sottoposta ad intervento chirurgico con asportazione sia della massa che dell' ansa ileale aderente. È stata ottenuta, infine, la conferma anatomo-patologica di linfangioma mesenterico. Conclusioni sebbene il linfangioma mesenterico sia una malattia rara che non presenta caratteristiche tipiche né cliniche né di imaging, e che richieda un approccio invasivo per essere diagnosticata, l' ecografia -elastosonografia può suggerirne la natura benigna mentre la tomografia computerizzata si rivela utile al fine di pianificarne l' intervento chirurgico.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%