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Abdominal cystic lymphangioma mimicking appendicitis

Sarah Wake1, Aruna Abhyankar1, Kim Hutton1

  • 1Department of Paediatric Surgery, University Hospital of Wales, Cardiff, United Kingdom.

European Journal of Pediatric Surgery Reports
|March 11, 2015
PubMed

Insights

Intra-abdominal cystic lymphangioma is a rare pediatric condition. These tumors can mimic appendicitis, delaying diagnosis until surgical removal and pathological examination.

Area of Science:

  • Pediatric Surgery
  • Abdominal Imaging
  • Pathology

Background:

  • Cystic lymphangiomas are rare intra-abdominal tumors in children.
  • Symptoms like abdominal pain, vomiting, and anorexia are nonspecific.
  • These symptoms often lead to misdiagnosis as common acute pediatric conditions.

Observation:

  • Two pediatric cases of intra-abdominal cystic lymphangioma are presented.
  • Initial clinical presentation and treatment mimicked acute appendicitis.
  • Diagnosis was confirmed only after surgical excision and pathological analysis.

Findings:

  • Intra-abdominal cystic lymphangioma can present insidiously in children.
  • Nonspecific symptoms can lead to delayed diagnosis.
  • Surgical excision and histopathology are crucial for definitive diagnosis.

Implications:

  • Increased awareness of cystic lymphangioma is needed in pediatric abdominal emergencies.
  • Consideration of rare diagnoses like cystic lymphangioma is important when common conditions are suspected.
  • Accurate pathological diagnosis is essential for appropriate management of pediatric abdominal masses.

Keywords:
abdomenappendicitiscystlymphangioma

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