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.