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First toddler mesenteric lymphatic malformation in Malaysia - A case report
C H Soh1, J Emmanuel2, M I Rahizan2
1Hospital Raja Permaisuri Bainun, Department of Surgery (Paediatric Surgical Unit), Malaysia. yvonnesohch@gmail.com.
The Medical Journal of Malaysia
|January 28, 2022
Summary
This case report details a rare mesenteric lymphatic malformation in a Malaysian toddler. Surgical resection was successful, with the patient remaining symptom-free one year post-operation.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Mesenteric lymphatic malformations are rare, benign conditions with an incidence of 1 in 250,000.
- This is the first reported case in a toddler in Malaysia.
Observation:
- A 2-year-11-month-old presented with a 6-month history of abdominal distension and a palpable abdominal mass.
- CT abdomen revealed a large, multiloculated intraperitoneal mesenteric cystic mass extending to the pelvis.
- Intraoperative findings confirmed a 20cm x 30cm cyst adherent to the small bowel.
Findings:
- Surgical resection of the mesenteric cyst with involved small bowel and primary anastomosis was performed.
- Histopathology showed multiple large lymphatic channels in the mucosa and submucosa.
- The patient experienced no recurrence and remained symptom-free one year after surgery.
Implications:
- Surgical resection with clear margins is the gold standard for managing mesenteric lymphatic malformations.
- Awareness of this rare pathology is crucial for appropriate patient management.
- The specific surgical approach depends on the malformation's characteristics.
