Microcystic Mesenteric Lymphatic Malformation, a Mimicker of Solid Masses in Pediatrics
Iranian Journal of Pediatric Surgery,
Vol. 6 No. 2 (2020),
7 December 2020
,
Page 113-117
https://doi.org/10.22037/irjps.v6i2.27456
Abstract
Mesenteric microcystic lymphangioma is a rare benign abdominal mass. It appears as a solid mass which may mimic a solid mesenteric or omental mass. Pure microcystic lesions are ill-defined and hyperechoic due to abundant wall interfaces.
A case of mesenteric microcystic lymphangioma is presented in combination with appendicitis. A 6-year-old boy presented with rapid onset of abdominal pain accompanied by nausea and vomiting. Ultrasound showed a hyperechoic solid mass without vascularity at Doppler evaluation. Computed tomography showed a mass in the small bowel mesentery with attenuation values in the range of water. In the pathologic evaluation, mesenteric lymphangioma with small and medium-sized cysts was reported.
Microcystic lymphatic malformation could be considered in the differential diagnosis of a solid abdominal mass in pediatrics and imaging features can be helpful to differentiate between them.
- Lymphatic malformation
- Mesenteric mass
- Microcystic lymphangioma
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References
Siddique K, Bhandari S, Basu S: Giant mesenteric lymphangioma: a rare cause of a life-threatening complication in an adult. BMJ Case Rep 2010.
Chung JC, Song OP: Cystic lymphangioma of the jejunal mesentery presenting with acute abdomen in an adult. Can J Surg 2009; 52: E286–E288.
Chen CW, Hsu SD, Lin CH et al: Cystic lymphangioma of the jejunal mesentery in an adult: a case report. World J Gastroenterol 2005; 11: 5,084–5,086.
M_endez-Gallart R, Bautista A, Est_evez E, et al: Abdominal cystic lymphangiomas in pediatrics: surgical approach and outcomes. Acta Chir Belg 2011;111:374–377.
Suthiwartnarueput W, Kiatipunsodsai S, Kwankua A, et al: Lymphangioma of the small bowel mesentery: a case report and review of the literature. World J Gastroenterol 2012;18:6328–6332.
De Vries JJ, Vogten JM, de Bruin PC, et al: Mesentericallymphangiomatosis causing volvulus and intestinal obstruction. Lymphat Res Biol 2007;5:269–273.
Luo CC, Huang CS, Chao HC, et al: Intra-abdominal cystic lymphangiomas in infancy and childhood. Chang Gung Med J 2004; 27:509–514.
Kosir M, Sonnino R, Gauderer M: Pediatric abdominal lymphangiomas: a plea for early recognition. J Pediatr Surg 991;26(11): 1309-13.
Dubois J, Alison M: Vascular anomalies: what a radiologist needs to know. Pediatr Radiol 2010;40(6):895–905.
Candace L. White, Brandon Olivieri, Ricardo Restrepo, et al: Low-Flow Vascular Malformation Pitfalls: From Clinical Examination to Practical Imaging Evaluation-Part 1, Lymphatic Malformation Mimickers. American Journal of Roentgenology 2016 206:5, 940-951.
Romeo V, Maurea S, Mainenti PP, et al: Correlative imaging of cystic lymphangiomas: ultrasound, CT and MRI comparison. ActaRadiol Open 2015;4:1–4.
Konen O, Rathaus V, Dlugy E, et al: Childhood abdominal cystic lymphangioma. Pediatr Radiol 2002;32:88-94.
Steyaert H, Guitard J, Moscovici J, et al: Abdominal cystic lymphangioma in children: benign lesions that can have a proliferative course. J PedSurg 1996;31(5):677-80.
William E. Shiels II: Lymphatic Malformation: Radiologic-Pathologic-Therapeutic Correlation and Management Implications J Am Osteopath Coll Radiol 2012;1(3).
Chung EM, Biko DM, Arzamendi AM, et al: Radiographics. Solid tumors of the peritoneum, omentum, and mesentery in children: radiologic-pathologic correlation: from the radiologic pathology archives 2015;35(2):521-46.
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