Pediatric patients with mesenteric cystic lymphangioma: A case series

•MCL symptoms and signs may occur with various clinical features, from asymptomatic abdominal mass to acute abdomen.•MCL should be considered as one of the differential diagnoses in acute abdomen and intraabdominal tumor cases in children.•MCL has potential to grow and invade vital organs, therefore...

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Bibliographic Details
Published in:	International journal of surgery case reports Vol. 64; pp. 89 - 93
Main Authors:	Gunadi, Kashogi, Gibran, Prasetya, Dedi, Fauzi, Aditya Rifqi, Daryanto, Eddy, Dwihantoro, Andi
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier Ltd 01-01-2019 Elsevier
Subjects:	Acute abdomen Asymptomatic abdominal mass Mesenteric cystic lymphangioma Radiologic findings Acute abdomen Radiologic findings Mesenteric cystic lymphangioma Asymptomatic abdominal mass
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Summary:	•MCL symptoms and signs may occur with various clinical features, from asymptomatic abdominal mass to acute abdomen.•MCL should be considered as one of the differential diagnoses in acute abdomen and intraabdominal tumor cases in children.•MCL has potential to grow and invade vital organs, therefore, resection/marsupialization is preferable for its management. Mesenteric cystic lymphangioma (MCL) is a benign malformation of the lymphatic system. MCL seldomly occurs with a very rare incidence of around 1: 250,000. This neoplasm is more common in pediatric patients. Symptoms can appear with various clinical features ranging from asymptomatic abdominal mass to acute abdomen. Here we report four pediatric patients with MCL: two males presented with bilious vomiting and ileus, one female with abdominal pain, and one female with asymptomatic abdominal mass. All patients underwent explorative laparotomy and mass excision was done and/or marsupialization. All patients were discharged at the third – fourth postoperative day uneventfully. Although benign, lymphangioma can cause other symptoms such as bleeding, torsion, or lymphangioma rupture. Therefore, MCL should be considered as one of the differential diagnoses in acute abdominal and abdominal mass cases in children. In conclusion, although sometimes asymptomatic and found incidentally, the MCL should be resected because it has the potential to grow and invade vital organs and cause life-threatening complications.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2210-2612 2210-2612
DOI:	10.1016/j.ijscr.2019.09.034