Jaweesh Shkri, Jaweesh Marwa, Khalil Wais, Obaid Shahed, Alokla Hasan, Alhomsi Khaled
Faculty of Medicine, Al-Sham Private University, Damascus, Syria.
Faculty of Medicine University of Aleppo, Syria.
Int J Surg Case Rep. 2024 Nov;124:110435. doi: 10.1016/j.ijscr.2024.110435. Epub 2024 Oct 12.
Lymphangiomas are benign vascular malformations commonly found in the head and neck region, although they can occur elsewhere. Clinical manifestations vary based on location and size. Surgical resection remains the primary treatment modality.
A male child presented with progressive abdominal distension without associated symptoms. Emergency department evaluation revealed a palpable abdominal mass. Abdominal ultrasound and computed tomography (CT) scans confirmed a large abdominal cyst. The cyst was surgically removed, and pathological examination diagnosed mesenteric lymphangioma.
Despite their infrequent occurrence, mesenteric cysts should be included in the differential diagnosis of pediatric abdominal masses.
Complete surgical resection is essential for the definitive management of mesenteric lymphangioma. Partial resection or aspiration should be avoided due to the risk of complications and potential recurrence.
淋巴管瘤是常见于头颈部的良性血管畸形，尽管也可发生于其他部位。临床表现因位置和大小而异。手术切除仍是主要的治疗方式。
一名男童出现进行性腹胀，无相关伴随症状。急诊科检查发现可触及腹部肿块。腹部超声和计算机断层扫描（CT）证实为一个巨大的腹部囊肿。该囊肿经手术切除，病理检查诊断为肠系膜淋巴管瘤。
尽管肠系膜囊肿发生率较低，但在小儿腹部肿块的鉴别诊断中应予以考虑。
完整的手术切除对于肠系膜淋巴管瘤的确定性治疗至关重要。由于存在并发症风险和潜在复发可能，应避免部分切除或穿刺抽吸。
