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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