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Alemu H, Alemu S, Berhane M. Omental Cyst Presenting as an Acute Abdomen in a Pediatric Patient: A Case Report. Int Med Case Rep J 2022; 15:43-46. [PMID: 35140530 PMCID: PMC8818982 DOI: 10.2147/imcrj.s351406] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Accepted: 01/21/2022] [Indexed: 11/28/2022] Open
Abstract
Background Omental cysts are the rarest forms of intra-abdominal cystic lesions. They are usually asymptomatic but can also present as acute abdomen. The presentation is confusing in some cases, which may result in mismanagement, added costs, and trouble for the patient. A pre-operative diagnosis is challenging, especially in resource-limited settings, and requires a high level of suspicion and a cautious approach during emergency exploratory laparotomy to avoid complications. Case Details This is a 4 year old male child who presented with high grade fever, vomiting, and abdominal pain of 2 days duration. He was tachypneic, tachycardic, and had diffuse abdominal tenderness. Emergency laparotomy revealed a large cyst with hemorrhagic content. Complete removal of the cyst was done, and the patient was discharged after improvement on the third post-operative day. Conclusion Omental cysts are rare in children and have varieties of presentations. Even though preoperative diagnosis is challenging, esspecially in resource-limited settings, clinicians should consider omental cysts in a child presenting with an acute abdomen. It is important for surgeons to consider omental cysts when carrying out emergency laparotomy for an unidentified abdominal condition.
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Affiliation(s)
- Hailu Alemu
- Department of Pediatrics and Child Health, Jimma University, Jimma, Ethiopia
- Correspondence: Hailu Alemu, Email
| | - Seifu Alemu
- Department of Surgery, Jimma University, Jimma, Ethiopia
| | - Melkamu Berhane
- Department of Pediatrics and Child Health, Jimma University, Jimma, Ethiopia
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Mahmoudi A, Rami M, Khattala K, El Madi A, Bouabdallah Y. Huge omental lymphangioma with haemorrhage in children: case report. Pan Afr Med J 2020; 35:20. [PMID: 32341741 PMCID: PMC7170737 DOI: 10.11604/pamj.2020.35.20.8585] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Accepted: 04/03/2016] [Indexed: 01/09/2023] Open
Abstract
Omental cystic lymphangioma is a rare benign intraabdominal anomaly with uncertain etiology, predominantly occurring in children. Most cases of abdominal lymphangioma are asymptomatic. However, patients may occasionally present with acute abdomen because of an intestinal obstruction or peritonitis caused by infected cysts, hemorrhaging, and/or torsion. This report describes a case of omental cystic lymphangioma with acute intracystic haemorrhage. Ultrasonography and computed tomography (CT) scan confirmed the diagnosis. Complete excision of the cyst along without omentectomy done with no clinical or radiological evidence of recurrence till 17 months.
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Affiliation(s)
- Abdelhalim Mahmoudi
- Department of Pediatric Surgery, CHU Hassan II, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco
| | - Mohammed Rami
- Department of Pediatric Surgery, CHU Hassan II, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco
| | - Khalid Khattala
- Department of Pediatric Surgery, CHU Hassan II, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco
| | - Aziz El Madi
- Department of Pediatric Surgery, CHU Hassan II, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco
| | - Youssef Bouabdallah
- Department of Pediatric Surgery, CHU Hassan II, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco
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Mehmetoğlu F. Newborn intestinal obstruction due to mesenteric lymphangioma: A diagnostic challenge. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2017. [DOI: 10.1016/j.epsc.2016.11.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Kim SH, Kim HY, Lee C, Min HS, Jung SE. Clinical features of mesenteric lymphatic malformation in children. J Pediatr Surg 2016; 51:582-7. [PMID: 27106580 DOI: 10.1016/j.jpedsurg.2015.11.021] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2015] [Revised: 11/27/2015] [Accepted: 11/29/2015] [Indexed: 02/07/2023]
Abstract
BACKGROUND Mesenteric lymphatic malformations (MLs) are a heterogeneous group of benign diseases of the lymphatic system that present with cystic dilated lymphatics of the mesentery. MLs are rare and represent less than 5% of all lymphatic malformations. The aims of this study were to analyze the characteristics of MLs in children and to suggest a modified classification. PATIENTS AND METHODS We investigated 25 patients who underwent ML surgery. The clinical data and pathological findings were reviewed retrospectively. We divided the patients into 4 groups according to the operative findings. Group 1 included patients with MLs involving the intestinal walls. Group 2 included patients with pedicle-type MLs with no relationship to the mesenteric vessels. Group 3 patients presented with MLs located in the mesenteric boundaries near the mesenteric vessels. Group 4 patients had multicentric and diffusely infiltrated MLs. RESULT The male-to-female ratio was 11:14, and the median age at diagnosis was 5years of age. The most common symptom was abdominal pain. The jejunal mesentery was the most frequently involved site in this study. Five patients showed the macrocystic type and 20 patients showed the mixed cystic type. With the exception of one patient with a large mixed cystic-type ML who underwent incomplete mass excision, 24 patients underwent complete mass excision. The group 1 patients (n=14) underwent mass excision performed with segmental resection of the bowel. The group 2 patients (n=3) only underwent mass excision surgery. The patients in group 3 (n=7) underwent mass excision with segmental resection of the intestine because ML excision altered the blood supply of the adjacent intestines. The group 4 patients (n=1) presented with MLs involving the entire mesentery and underwent incomplete excision. CONCLUSION The relationships between MLs and the neighboring organs determine the surgical strategy, and the size and location of MLs affect the operative methods. The modified classification based on these findings can facilitate effective treatment planning.
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Affiliation(s)
- Soo-Hong Kim
- Department of Pediatric Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea
| | - Hyun-Young Kim
- Department of Pediatric Surgery, Seoul National University Children's Hospital, Seoul, Korea.
| | - Cheol Lee
- Department of Pathology, Seoul National University Hospital, Seoul, Korea
| | - Hye Sook Min
- Department of Pathology, Seoul National University Hospital, Seoul, Korea
| | - Sung-Eun Jung
- Department of Pediatric Surgery, Seoul National University Children's Hospital, Seoul, Korea
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Postnatal sonographic spectrum of prenatally detected abdominal and pelvic cysts. AJR Am J Roentgenol 2015; 203:W684-96. [PMID: 25415735 DOI: 10.2214/ajr.13.12371] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
OBJECTIVE The purpose of this article is to illustrate the sonographic findings of a spectrum of neonatal abdominal and pelvic cystic lesions. CONCLUSION Neonatal abdominal and pelvic cystic lesions can arise from many organs, and they have a broad differential diagnosis. Distinctive sonographic findings may be present and can help establish the correct cause and guide proper management.
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Zouari M, Ben Dhaou M, Kchaou R, Jallouli M, Mhiri R. Unusual sites of cystic lymphangioma in children. Arch Pediatr 2014; 22:676-7. [PMID: 25282458 DOI: 10.1016/j.arcped.2014.09.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Revised: 08/20/2014] [Accepted: 09/01/2014] [Indexed: 01/11/2023]
Affiliation(s)
- M Zouari
- Service de chirurgie pédiatrique, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie.
| | - M Ben Dhaou
- Service de chirurgie pédiatrique, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie
| | - R Kchaou
- Service de chirurgie pédiatrique, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie
| | - M Jallouli
- Service de chirurgie pédiatrique, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie
| | - R Mhiri
- Service de chirurgie pédiatrique, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie
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Nam SH, Kim DY, Kim SC, Kim IK. The surgical experience for retroperitoneal, mesenteric and omental cyst in children. JOURNAL OF THE KOREAN SURGICAL SOCIETY 2012; 83:102-6. [PMID: 22880185 PMCID: PMC3412181 DOI: 10.4174/jkss.2012.83.2.102] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/14/2012] [Revised: 06/08/2012] [Accepted: 06/27/2012] [Indexed: 01/16/2023]
Abstract
Purpose Intra-abdominal cystic masses originating from the retroperitoneum, mesentery or omentum are very rare and mostly benign tumors, but sometimes present as a complicated cyst encasing the major organs. Methods We analyzed the clinical findings, histologic diagnosis, and surgical outcomes in children who underwent operation for retroperitoneal, omental, and mesenteric cyst from 1998 to 2010, retrospectively. Results Twenty-three patients (male, 12; female, 11) underwent the operation at a median age of 46 months (range, 9 days to 16 years). Among them, 17 cysts presented one or two symptoms such as abdominal mass, abdominal pain or abdominal distension. The median duration of symptoms was 7 days (range, 1 day to 365 days). Five were detected prenatally. Ten cysts were found in retroperitoneum, 8 in the omentum and 5 in the mesentery. The median diameter was 13 cm (range, 3 to 30 cm). Twenty cysts were completely removed. Five mesenteric cysts required bowel resection and anastomosis. Three of retroperitoneal cysts were impossible to complete excise because of location and extensiveness. Pathologically, 20 cysts were lymphangioma and 3 were pseudocyst. The morbidity was one of adhesive ileus and the mortality was one who had extensive retroperitoneal cyst with mesenteric cyst. He died from sepsis. During follow-up period, there was no recurrence. Conclusion Preoperative diagnosis and localization for these cysts are very difficult. Complete excision was possible in almost all cases despite the size, bringing a favorable outcome. The possibility of this disease entity should be considered as the cause of acute abdomen.
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Affiliation(s)
- So Hyun Nam
- Department of Pediatric Surgery, Inje University Haeundae Paik Hospital, Busan, Korea
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Thambidorai CR, Wahab A, Hamzaini AH. Solitary mesenteric vascular anomaly presenting as acute abdomen. J Indian Assoc Pediatr Surg 2011; 13:115-7. [PMID: 20011488 PMCID: PMC2788461 DOI: 10.4103/0971-9261.43820] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
A 4-year-old girl with a solitary vascular anomaly of the mesentery presented with acute lower abdominal pain. Despite the use of ultrasound, computed tomography scan and image-guided core biopsies, the lesion was initially mistaken for an inflammatory intra-abdominal mass. The correct diagnosis was made at laparotomy. Solitary vascular anomaly of the mesentery is rare and its presentation as an acute abdomen has not been reported before.
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Affiliation(s)
- C R Thambidorai
- Paediatric Surgery Unit, Departments of Surgery and Radiology, University Kebangsaan of Malaysia, Cheras, 56000 Kuala Lumpur, Malaysia
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Parakh A, Dubey AP, Garg A, Khurana N, Aggarwal SK. Cystic lymphangiomatous hamartoma masquerading as massive ascites. Indian J Pediatr 2009; 76:753-4. [PMID: 19475359 DOI: 10.1007/s12098-009-0141-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2008] [Accepted: 07/24/2008] [Indexed: 10/20/2022]
Abstract
We report a 4-year-old boy presenting with a tense massive ascites and large hydrocele. History and physical examination were unremarkable. Routine laboratory studies were normal. Abdominal ultrasonography revealed massive ascites. Contrast CT was suggestive of a large cyst covering the entire peritoneal cavity. At laparotomy, a large cystic tumor was found extending into the scrotum through the left inguinal ring. Histopathologic examination diagnosed the tumor as a cystic lymphangiomatous hemartoma. Although abdominal lymphangiomas are seen in children, but presenting as massive ascites with hydrocele is very rare.
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Affiliation(s)
- Ankit Parakh
- Department of Pediatric, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.
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Muramori K, Zaizen Y, Noguchi S. Abdominal lymphangioma in children: report of three cases. Surg Today 2009; 39:414-7. [PMID: 19408079 DOI: 10.1007/s00595-008-3854-z] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2008] [Accepted: 08/26/2008] [Indexed: 01/22/2023]
Abstract
Most cases of abdominal lymphangioma are asymptomatic. However, patients may occasionally present with acute abdomen because of an intestinal obstruction or peritonitis caused by infected cysts, hemorrhaging, and/or torsion. These conditions may differ based on the location of the lymphangioma and do not always require emergency surgery. This report presents two cases of abdominal lymphangioma derived from the omentum, which required emergency surgery because of severe abdominal distension and peritonitis caused by torsion, respectively. In contrast, another case of retroperitoneal lymphangioma presented with acute abdomen and underwent elective surgery after conservative therapy for peritonitis. Elective surgery is acceptable if the symptoms are controllable under conservative therapy. However, it is important not to overlook the possible lethal complications such as intestinal and/or urological obstruction, aggressive peritonitis, and torsion of the cyst, which require emergency surgery.
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Affiliation(s)
- Katsumi Muramori
- Department of Pediatric Surgery, Matsuyama Red Cross Hospital, Matsuyama, Japan
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Eckert K, Vossough A, Michna D, Zirbes T, Liedgens P. Stielgedrehtes, intraabdominales Lymphangiom. Monatsschr Kinderheilkd 2008. [DOI: 10.1007/s00112-008-1881-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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13
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Teixeira L, Castro M, Leite J, Teixeira H, Teixeira R, Pettersen H, Julio C. Mesenteric cystic lymphangioma: a prenatal diagnostic challenge. Prenat Diagn 2007; 27:479-80. [PMID: 17471606 DOI: 10.1002/pd.1680] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Jakob J, Moesta KT, Rau B. [Increasing abdominal pain caused by abdominal tumor in a 21-year-old female]. Chirurg 2004; 76:175-8. [PMID: 15551011 DOI: 10.1007/s00104-004-0949-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Lymphangiomas are congenital malformations which occur mostly in the neck and head region of children. They are rarely located in the mesenterium or retroperitoneum in adults. We present a case of mesenteric cystic lymphangioma in a young woman who was admitted to hospital with a history of increasing abdominal pain. We discuss diagnostic means, differential diagnosis, and therapeutic management of the disease.
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Affiliation(s)
- J Jakob
- Klinik für Chirurgie und Chirurgische Onkologie, Robert-Rössle-Klinik im Helios-Klinikum Berlin, Charité-Universitätsmedizin Berlin
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Jissendi Tchofo P, Damry N, van Wilder F, Avni FE. Mesenteric capillary hemangioma in a 4-month-old girl. ACTA ACUST UNITED AC 2004. [DOI: 10.1016/j.ejrex.2004.05.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Khong PL, Cheung SCW, Leong LLY, Ooi CGC. Ultrasonography of intra-abdominal cystic lesions in the newborn. Clin Radiol 2003; 58:449-54. [PMID: 12788313 DOI: 10.1016/s0009-9260(03)00125-9] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Intra-abdominal cystic lesions are increasingly recognized in the newborn because of the advent of routine antenatal ultrasonography. As these lesions are often asymptomatic or non-specific in clinical presentation in the newborn, imaging by ultrasonography has an important role in diagnosis. We present a pictorial review of the commonly encountered intra-abdominal cystic lesions in the newborn, with emphasis on ultrasonographic features that can aid differentiation between the various lesions.
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Affiliation(s)
- P L Khong
- Department of Diagnostic Radiology, Queen Mary Hospital, The University of Hong Kong, Hong Kong, People's Republic of China.
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