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Pediatric abdominal lymphangiomas: a plea for early recognition
M A Kosir1, R E Sonnino, M W Gauderer
1Department of Surgery, Rainbow Babies and Childrens Hospital, University Hospitals of Cleveland, Case Western Reserve University School of Medicine, OH.
Journal of Pediatric Surgery
|November 1, 1991
Summary
Abdominal lymphangiomas, distinct from mesenteric cysts, often cause symptoms like pain and vomiting in children. Early diagnosis via imaging is crucial for effective treatment and preventing complications.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Imaging
Background:
- Abdominal lymphangiomas are often misclassified with mesenteric cysts.
- Distinguishing them is vital due to differences in location, histology, and recurrence potential.
Observation:
- A 16-year study identified 13 pediatric abdominal lymphangiomas, with 12 symptomatic cases.
- Common symptoms included abdominal pain, vomiting, and increased abdominal girth.
- Abdominal masses were palpable in 10 patients, with 2 experiencing intestinal gangrene.
Findings:
- Ultrasonography and computed tomography (CT) were the most reliable diagnostic tools.
- Complete resection was not achieved in 2 cases, and 1 recurrence was noted.
- Contrary to literature, these lesions frequently present with significant symptoms.
Implications:
- Prompt diagnosis and surgical excision of smaller lesions can prevent severe complications.
- Ultrasound and CT should be utilized for children with unexplained abdominal pain for early detection.
- Recognizing abdominal lymphangiomas as a distinct entity improves patient outcomes.
