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Dumble cystic lymphangioma as an underlying cause of vague abdominal complaints in a 2-year-old girl: case report
Lymphatic malformations (LM) refer to very rare hamartomatous benign lymphatic ectasias with an incidence of 1:250 000. They almost involve children more than adults, and among them, infants under one age are mostly affected. Macrocytic LM is found to be more than 2 cm in diameter or 2×2 cm(2) in vo...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10406008/ https://www.ncbi.nlm.nih.gov/pubmed/37554902 http://dx.doi.org/10.1097/MS9.0000000000000395 |
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author | Atqiaee, Khashayar Samady Khanghah, Ali Mohajerzadeh, Leily Mardi, Ali Khayat Zahiri, Farhad Barin, Sajjad |
author_facet | Atqiaee, Khashayar Samady Khanghah, Ali Mohajerzadeh, Leily Mardi, Ali Khayat Zahiri, Farhad Barin, Sajjad |
author_sort | Atqiaee, Khashayar |
collection | PubMed |
description | Lymphatic malformations (LM) refer to very rare hamartomatous benign lymphatic ectasias with an incidence of 1:250 000. They almost involve children more than adults, and among them, infants under one age are mostly affected. Macrocytic LM is found to be more than 2 cm in diameter or 2×2 cm(2) in volume. The proper treatment for mesenteric LM is complete surgical excision unless there is vital structure involvement. CASE PRESENTATION: The authors report a mesenteric macrocytic LM in a 2-year-old girl complaining of vague abdominal discomfort and persistent vomiting in which ultrasonography revealed a cystic masse with seromucous components. She then underwent exploratory laparotomy. The operation and the follow-up duration were uneventful. DISCUSSION: LMs are rare benign lesions of vascular origin with lymphatic differentiation, according to the latest International Society for the Study of Vascular Anomalies (ISSVA 2018). Under light microscopy, these malformations are characterized by their thin-walled endothelium and lymphatic tissue. These mobile lesions are incidentally found or appear with intestinal obstruction or acute abdomen scenarios. CONCLUSION: Although benign, the LMs have the potential for invasion and recurrence. Thus, the examiner physician must keep such intra-abdominal lesions in mind. |
format | Online Article Text |
id | pubmed-10406008 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-104060082023-08-08 Dumble cystic lymphangioma as an underlying cause of vague abdominal complaints in a 2-year-old girl: case report Atqiaee, Khashayar Samady Khanghah, Ali Mohajerzadeh, Leily Mardi, Ali Khayat Zahiri, Farhad Barin, Sajjad Ann Med Surg (Lond) Case Reports Lymphatic malformations (LM) refer to very rare hamartomatous benign lymphatic ectasias with an incidence of 1:250 000. They almost involve children more than adults, and among them, infants under one age are mostly affected. Macrocytic LM is found to be more than 2 cm in diameter or 2×2 cm(2) in volume. The proper treatment for mesenteric LM is complete surgical excision unless there is vital structure involvement. CASE PRESENTATION: The authors report a mesenteric macrocytic LM in a 2-year-old girl complaining of vague abdominal discomfort and persistent vomiting in which ultrasonography revealed a cystic masse with seromucous components. She then underwent exploratory laparotomy. The operation and the follow-up duration were uneventful. DISCUSSION: LMs are rare benign lesions of vascular origin with lymphatic differentiation, according to the latest International Society for the Study of Vascular Anomalies (ISSVA 2018). Under light microscopy, these malformations are characterized by their thin-walled endothelium and lymphatic tissue. These mobile lesions are incidentally found or appear with intestinal obstruction or acute abdomen scenarios. CONCLUSION: Although benign, the LMs have the potential for invasion and recurrence. Thus, the examiner physician must keep such intra-abdominal lesions in mind. Lippincott Williams & Wilkins 2023-06-28 /pmc/articles/PMC10406008/ /pubmed/37554902 http://dx.doi.org/10.1097/MS9.0000000000000395 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Case Reports Atqiaee, Khashayar Samady Khanghah, Ali Mohajerzadeh, Leily Mardi, Ali Khayat Zahiri, Farhad Barin, Sajjad Dumble cystic lymphangioma as an underlying cause of vague abdominal complaints in a 2-year-old girl: case report |
title | Dumble cystic lymphangioma as an underlying cause of vague abdominal complaints in a 2-year-old girl: case report |
title_full | Dumble cystic lymphangioma as an underlying cause of vague abdominal complaints in a 2-year-old girl: case report |
title_fullStr | Dumble cystic lymphangioma as an underlying cause of vague abdominal complaints in a 2-year-old girl: case report |
title_full_unstemmed | Dumble cystic lymphangioma as an underlying cause of vague abdominal complaints in a 2-year-old girl: case report |
title_short | Dumble cystic lymphangioma as an underlying cause of vague abdominal complaints in a 2-year-old girl: case report |
title_sort | dumble cystic lymphangioma as an underlying cause of vague abdominal complaints in a 2-year-old girl: case report |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10406008/ https://www.ncbi.nlm.nih.gov/pubmed/37554902 http://dx.doi.org/10.1097/MS9.0000000000000395 |
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