TY - JOUR
T1 - When a lymphatic malformation determines a bowel volvulus
T2 - Are clinical status and images always reliable?
AU - Guida, Edoardo
AU - Di Grazia, Massimo
AU - Cattaruzzi, Elisabetta
AU - Bussani, Rossana
AU - Rigamonti, Waifro
AU - Lembo, Maria Antonietta
PY - 2016
Y1 - 2016
N2 - Introduction An acute abdomen in the form of small-bowel volvulus could be a presentation of a lymphatic malformation in childhood. Case presentation A 5 year old male was admitted to our Institute for an acute abdomen. Clinical aspects and radiological images were not specific for a certain diagnosis. Laparotomy revealed a big soft mass, with a milky content, completely involving about 50 cm of ileus with a partial volvulus of the intestinal loop. A complete mass excision and also a bowel involved resection were performed. After a histological examination, a lymphatic malformation was diagnosed. Discussion The diagnosis of a mesenteric lymphatic malformation could be intraoperative and a complete resection should be the treatment of choice. Sometimes it could be necessary to perform an involved bowel tract resection in the case of volvolus with ischemia. Conclusions Paediatricians and surgeons should bare in mind that an intrabdominal lymphatic malformation may present as a nonspecific an acute abdomen caused by a bowel volvolus and diagnosis may not be so simple preoperatively.
AB - Introduction An acute abdomen in the form of small-bowel volvulus could be a presentation of a lymphatic malformation in childhood. Case presentation A 5 year old male was admitted to our Institute for an acute abdomen. Clinical aspects and radiological images were not specific for a certain diagnosis. Laparotomy revealed a big soft mass, with a milky content, completely involving about 50 cm of ileus with a partial volvulus of the intestinal loop. A complete mass excision and also a bowel involved resection were performed. After a histological examination, a lymphatic malformation was diagnosed. Discussion The diagnosis of a mesenteric lymphatic malformation could be intraoperative and a complete resection should be the treatment of choice. Sometimes it could be necessary to perform an involved bowel tract resection in the case of volvolus with ischemia. Conclusions Paediatricians and surgeons should bare in mind that an intrabdominal lymphatic malformation may present as a nonspecific an acute abdomen caused by a bowel volvolus and diagnosis may not be so simple preoperatively.
KW - Acute abdomen
KW - Children
KW - Lymphatic malformation
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U2 - 10.1016/j.ijscr.2016.06.030
DO - 10.1016/j.ijscr.2016.06.030
M3 - Article
AN - SCOPUS:84978069230
VL - 25
SP - 192
EP - 195
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
SN - 2210-2612
ER -