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Case 311.

Radiology·2022
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Case 311: Generalized Lymphatic Anomaly.

Pablo Ramallo1, Sara Blanque1, Luis Méndez Uriburu1

  • 1From the Department of Body Imaging, Centro Radiológico Dr. Luis Méndez Collado, Muñecas 444, San Miguel de Tucumán, Tucumán, Argentina T4000.

Radiology
|February 21, 2023
PubMed
Summary
This summary is machine-generated.

A 14-year-old boy experienced progressive symptoms including fatigue and abdominal distention. Investigations revealed anemia, prompting further imaging for diagnosis.

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Area of Science:

  • Pediatric Medicine
  • Diagnostic Imaging
  • Hematology

Background:

  • A 14-year-old male presented with a few months history of progressive asthenia, low back pain, and abdominal distention.
  • The patient had no significant past medical history and normal vital signs upon examination.

Observation:

  • Physical examination revealed pallor and a positive fluid wave test.
  • No lower limb edema, mucocutaneous lesions, or palpable lymphadenopathy were observed.

Findings:

  • Laboratory results indicated significant anemia with hemoglobin at 9.3 g/dL and hematocrit at 29.8%.
  • All other laboratory values were within normal limits.

Implications:

  • The presentation suggests a need for further investigation into the cause of anemia and abdominal distention in this adolescent.
  • Contrast-enhanced computed tomography (CT) of the chest, abdomen, and pelvis was performed to evaluate the findings.