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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Clinical image. Chylolymphatic mesenteric cyst in a 3-month old infant
Ioannis Patoulias1, Theodora Plikaditi2, Thomas Feidantsis1
1First Department of Pediatric Surgery, Aristotle University of Thessaloniki Greece, General Hospital "G.Gennimatas", Thessaloniki, Greece.
Insights
Chylolymphatic mesenteric cysts are rare in children. This case report details a 3-month-old infant diagnosed with cystic lymphangioma type III after presenting with vomiting.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Imaging
Background:
- Chylolymphatic mesenteric cysts are rare congenital anomalies.
- Mesenteric cysts can cause significant gastrointestinal distress in infants.
- Early diagnosis and surgical intervention are crucial for favorable outcomes.
Observation:
- A 3-month-old infant presented with persistent vomiting.
- Preoperative ultrasonography revealed a multiloculated cystic lesion in the right abdomen.
- The lesion was thin-walled, suggesting a cystic nature.
Findings:
- Surgical excision was performed electively.
- Histopathological examination confirmed cystic lymphangioma type III (Lozanoff classification).
- This specific classification indicates a particular type of lymphatic malformation.
Implications:
- This case highlights the importance of considering rare cystic lesions in infants with vomiting.
- Ultrasonography is a valuable tool for preoperative diagnosis of mesenteric cysts.
- Successful surgical management of cystic lymphangioma type III can lead to a full recovery.
Abstract:
Chylolymphatic mesenteric cysts are extremely rare among children. Herein we report a case of a 3-month old infant that was admitted to the Emergency Department due to repeated vomiting. Preoperative ultrasonography demonstrated the presence of a thin-walled multiloculated cystic lesion in the right abdomen. Patient underwent then elective surgical excision. Histopathological examination documented the diagnosis of cystic lymphangioma type III, according to Lozanoff classification.
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