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Mesenteric lymphangioma diagnosed by ultrasonography
Summary
A large mesenteric lymphangioma was diagnosed in an eight-year-old girl presenting with abdominal distension. Surgical removal confirmed this rare benign tumor of lymphatic vessels.
Area of Science:
- Pediatric Surgery
- Oncology
- Vascular Malformations
Background:
- Mesenteric tumors are rare in children, with lymphangiomas being a specific subtype.
- Abdominal distension can be a presenting symptom of intra-abdominal masses in pediatric patients.
Observation:
- An eight-year-old girl presented with a significant increase in abdominal girth.
- Ultrasonography revealed a large, 22 x 23 cm multiloculated mass in the mesentery.
Findings:
- Surgical exploration identified the mass as a lymphangioma originating from the mesentery.
- Microscopic examination confirmed the histological diagnosis of lymphangioma.
Implications:
- This case highlights the importance of considering lymphangioma in the differential diagnosis of pediatric abdominal masses.
- Early surgical intervention is crucial for managing symptomatic mesenteric lymphangiomas.
- Further research into the embryology and management of pediatric mesenteric lymphangiomas is warranted.