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Hemolinfangioma Mesentérico: Reporte de un Caso y Revisión de la Literatura
Dongxue Geng1, Jingjing Tao2, Yi Miao3
1Department of Hepatobiliary Surgery, The Affiliated Hospital of Jiangsu University, Zhenjiang, Jiangsu, China.
The American journal of case reports
|January 22, 2026
Resumen
El hemolinfangioma mesentérico es una condición rara. La resección quirúrgica completa es clave para el tratamiento y la prevención de recurrencias en pacientes pediátricos, con diagnóstico confirmado por histopatología.
Área de la Ciencia:
- Cirugía Pediátrica
- Malformaciones Vasculares
- Oncología Gastrointestinal
Sus antecedentes:
- El hemolinfangioma mesentérico es una malformación vascular benigna excepcionalmente rara.
- Las lesiones en la raíz mesentérica son particularmente infrecuentes y plantean desafíos diagnósticos.
- El diagnóstico preoperatorio es difícil debido a hallazgos clínicos y radiológicos inespecíficos.
Objetivo del estudio:
- Presentar el primer caso pediátrico de hemolinfangioma de la raíz mesentérica.
- Revisar la literatura existente sobre características clínicas y manejo.
- Enfatizar las estrategias de diagnóstico y tratamiento para esta rara entidad.
Principales métodos:
- Reporte de caso de un niño de 15 años con dolor abdominal recurrente.
- Imágenes preoperatorias de tomografía computarizada (TC).
- Hallazgos intraoperatorios y resección quirúrgica completa.
- Examen histopatológico con tinción inmunohistoquímica (D2-40, CD31, CD34).
Principales resultados:
- Se identificó una gran masa retroperitoneal en forma de huso cerca del duodeno y la cabeza del páncreas.
- El tumor se localizó en la raíz mesentérica, causando dilatación linfática y fuga de quilous.
- La escisión quirúrgica completa fue exitosa, sin recurrencia observada en la TC de seguimiento.
- La histopatología confirmó hemolinfangioma, con marcadores inmunohistoquímicos positivos.
Conclusiones:
- Este es el primer caso pediátrico reportado de hemolinfangioma en la raíz mesentérica.
- La escisión quirúrgica completa es el tratamiento principal para prevenir la recurrencia.
- El diagnóstico se basa en la histopatología y la inmunohistoquímica debido a características clínicas y de imagen inespecíficas.
- Destaca la importancia de considerar el hemolinfangioma mesentérico en los diagnósticos diferenciales pediátricos.
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