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Giant lymphatic malformation causing abdominal compartment syndrome in a neonate: a rare surgical emergency

Abdominal lymphatic malformations in neonates require sophisticated management. In symptomatic cases, acute complications may necessitate immediate surgery. We present the case of a giant abdominal lymphatic malformation diagnosed in the 18th gestational week. Sonographic concerns about intestinal h...

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Autores principales: Gasparella, Paolo, Singer, Georg, Castellani, Christoph, Sorantin, Erich, Haxhija, Emir Q, Till, Holger
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7449550/
https://www.ncbi.nlm.nih.gov/pubmed/32874540
http://dx.doi.org/10.1093/jscr/rjaa252
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author Gasparella, Paolo
Singer, Georg
Castellani, Christoph
Sorantin, Erich
Haxhija, Emir Q
Till, Holger
author_facet Gasparella, Paolo
Singer, Georg
Castellani, Christoph
Sorantin, Erich
Haxhija, Emir Q
Till, Holger
author_sort Gasparella, Paolo
collection PubMed
description Abdominal lymphatic malformations in neonates require sophisticated management. In symptomatic cases, acute complications may necessitate immediate surgery. We present the case of a giant abdominal lymphatic malformation diagnosed in the 18th gestational week. Sonographic concerns about intestinal hypoperfusion in the 33rd week of gestation indicated caesarean section. Postnatal imaging confirmed a macrocystic lymphatic malformation occupying almost the complete abdominal cavity; the intestinal perfusion was normal. Clinical deterioration on Day 13 of life required laparotomy. Intraoperatively, the lymphatic mass was located in the ileocecal mesentery. Two major cysts showed recent hemorrhage explaining the onset of abdominal compartment syndrome. The malformation was completely removed. An ileocecal resection with an ileocolic anastomosis was performed. The postoperative course was uneventful. In neonates with abdominal lymphatic malformations, an onset of abdominal compartment syndrome requires surgical exploration. If feasible, the complete removal of the lesion represents a curative option.
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spelling pubmed-74495502020-08-31 Giant lymphatic malformation causing abdominal compartment syndrome in a neonate: a rare surgical emergency Gasparella, Paolo Singer, Georg Castellani, Christoph Sorantin, Erich Haxhija, Emir Q Till, Holger J Surg Case Rep Case Report Abdominal lymphatic malformations in neonates require sophisticated management. In symptomatic cases, acute complications may necessitate immediate surgery. We present the case of a giant abdominal lymphatic malformation diagnosed in the 18th gestational week. Sonographic concerns about intestinal hypoperfusion in the 33rd week of gestation indicated caesarean section. Postnatal imaging confirmed a macrocystic lymphatic malformation occupying almost the complete abdominal cavity; the intestinal perfusion was normal. Clinical deterioration on Day 13 of life required laparotomy. Intraoperatively, the lymphatic mass was located in the ileocecal mesentery. Two major cysts showed recent hemorrhage explaining the onset of abdominal compartment syndrome. The malformation was completely removed. An ileocecal resection with an ileocolic anastomosis was performed. The postoperative course was uneventful. In neonates with abdominal lymphatic malformations, an onset of abdominal compartment syndrome requires surgical exploration. If feasible, the complete removal of the lesion represents a curative option. Oxford University Press 2020-08-26 /pmc/articles/PMC7449550/ /pubmed/32874540 http://dx.doi.org/10.1093/jscr/rjaa252 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Gasparella, Paolo
Singer, Georg
Castellani, Christoph
Sorantin, Erich
Haxhija, Emir Q
Till, Holger
Giant lymphatic malformation causing abdominal compartment syndrome in a neonate: a rare surgical emergency
title Giant lymphatic malformation causing abdominal compartment syndrome in a neonate: a rare surgical emergency
title_full Giant lymphatic malformation causing abdominal compartment syndrome in a neonate: a rare surgical emergency
title_fullStr Giant lymphatic malformation causing abdominal compartment syndrome in a neonate: a rare surgical emergency
title_full_unstemmed Giant lymphatic malformation causing abdominal compartment syndrome in a neonate: a rare surgical emergency
title_short Giant lymphatic malformation causing abdominal compartment syndrome in a neonate: a rare surgical emergency
title_sort giant lymphatic malformation causing abdominal compartment syndrome in a neonate: a rare surgical emergency
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7449550/
https://www.ncbi.nlm.nih.gov/pubmed/32874540
http://dx.doi.org/10.1093/jscr/rjaa252
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