Ultrasound Diagnostic the Intraabdominal Lymphangiomas in Children
Abstract
Mesenteric lymphangiomas (MLs) are a heterogeneous group of malformations of the lymphatic system that present with cystic dilated lymphatics of the mesentery. We reviewed the cases of MLs diagnosed over the period from 2004 to 2016 years. Twenty one children were included average age 3,11 ± 0,34 years, (range 4 days — 15 years). All children underwent a sonography and color Doppler ultrasound study before any surgical procedure. MLs was diagnosed by recognition of the fixed multilocular cystic masses with a thin wall and anechoic (fluid) content. The sonographic differential diagnosis held between delimited peritonitis, complicated ovarian cysts, teratomas with a cystic component, terminal obstructive uropathy. The echographic signs of MLs were picked out. The short review of the literature is present.
About the Authors
Elena B. Ol’khova
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
M. D. Med., Professor, Professor of Department of Radiology
Tatiana V. Mukaseeva
Moscow Clinical Municipal Children Hospital St. Vladimir, Moscow Healthcare Department
Russian Federation
Russian Federation
Radiologist of Ultrasound Diagnostic Department
Yuri Yu. Sokolov
Russian Medical Academy Postgraduate Education, Ministry of Healthcare Russia
Russian Federation
Russian Federation
M. D. Med., Professor, Head of Chair of Children Surgeon
Elizaveta E. Bibikova
Russian Medical Academy Postgraduate Education, Ministry of Healthcare Russia
Russian Federation
Russian Federation
Resident of Chair of Children Surgeon
References
1. Ol’khova E. B. Ultrasound diagnostics in emergency neonatology. V. 3. Moscow: Strom, 2016. 432 p. (in Russian).
2. Polyayev Yu. A., Petrushin A. V., Garbuzov R. V. Minimally invasive methods in treating lymphangioma in children. Detskaya bolnitsa. 2011. No. 3. P. 8–12 (in Russian).
3. Sokolov Yu. Yu., Donskoy D. V., Vilesov A. V., Shuvalov M. E., Dzyadchik A. V., Samsikov G. A. Surgical interventions in children with intraabdominal lymphangiomas. Rossiyskiy vestnik detskoy khirurgii, anesteziologii i reanimatologii. 2014. V. 4 (1). P. 20–24 (in Russian).
4. Sharoyev T. A., Burkov I. V., Kovalev D. V., Klimchuk O. V., Bondarenko S. B., Illarionov Yu. V. Lymphangioma of mesentery in children. Rossiyskiy vestnik detskoy khirurgii, anesteziologii i reanimatologii. 2012. V. 2 (2). P. 58–63 (in Russian).
5. Baskin D., Narci A., Okur N. et al. Cystic lymphangiomatosis with severe intraabdominal bleeding in a newborn: case report // J. Clin. Ultrasound. 2012. V. 41 (4). P. 261–264.
6. Capasso R., Rossi E., Zeccolini M. et al. Lymphangioma of the small bowel mesentery in a 7-year-old girl: a report of a case investigated with ultrasonography, elastosonography and computed tomography // J. Ultrasound. 2015. V. 18 (3). P. 297–300.
7. Guida E., Di Grazia M., Cattaruzzi E. et al. When a lymphatic malformation determines a bowel volvulus: are clinical status and images always reliable? // Int. J. Surg. Case Rep. 2016. V. 25. P. 192–195.
8. Gumustas O. G., Sanal M., Guner O. et al. Retroperitoneal cystic lymphangioma: a diagnostic and surgical challenge // Case Rep. Pediatr. 2013: 292053.
9. Kim S. H., Kim H. Y., Lee C. et al. Clinical features of mesenteric lymphatic malformation in children // J. Pediatr. Surg. 2016. V. 51 (4). P. 582–587.
10. Lal. A., Gupta P., Singhal M. et al. Abdominal lymphatic malformation: Spectrum of imaging findings // The Indian J. Radiol. Imaging. 2016. V. 26 (4). P. 423–428.
11. Li Q., Ji D., Tu K. S. et al. Clinical analysis of intraperitoneal lymphangioma // Chin. Med. J. 2015. V. 128 (22). P. 3043–3049.
12. Minocha P. K., Roop L., Persad R. Cases of atypical lymphangiomas in children // Case Rep. Pediatr. 2014: 626198.
13. Mistry K. A., Iyer D. Torsion of the greater omentum secondary to omental lymphangioma in a child: a case report // Pol. J. Radiol. 2015. V. 80. P. 111–114.
14. Olivieri C., Nanni L., De Gaetano A. M. et al. Complete resolution of retroperitoneal lymphangioma with a single trial of OK-432 in an infant // Pediatr. Neonatol. 2016. V. 57 (3). P. 240–243.
15. Pandey S., Fan M., Chang D. et al. Hemolymphangioma of greater omentum: a rare case report // Medicine. 2016. V. 95 (17).
16. Ramani M. M., Kazi W. H., Radhika Krishna O. H. et al. Histopathological review of mesenteric and omental cysts in children // J. Evolution Med. Dental Sciences. 2013. V. 2 (26). P. 4701–4709.
17. Rami M., Mahmoudi A., El Madi A. et al. Giant cystic lymphangioma of the mesentery: varied clinical presentation of 3 cases // Pan Afr. Med. J. 2012. V. 12 (7).
18. Suthiwartnarueput W., Kiatipunsodsai S., Kwankua A. et al. Lymphangioma of the small bowel mesentery: a case report and review of the literature // World J. Gastroenterol. 2012. V. 18 (43). P. 6328–6332.
Review
For citations:
Ol’khova E., Mukaseeva T., Sokolov Yu., Bibikova E. Ultrasound Diagnostic the Intraabdominal Lymphangiomas in Children. Radiology - Practice. 2017;(5):6-20. (In Russ.)
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