Pediatric cystic lymphangioma of the retroperitoneum: A case report and review of the literature.
Details
Serval ID
serval:BIB_63BC22B8BE22
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Pediatric cystic lymphangioma of the retroperitoneum: A case report and review of the literature.
Journal
Medicine
ISSN
1536-5964 (Electronic)
ISSN-L
0025-7974
Publication state
Published
Issued date
10/07/2020
Peer-reviewed
Oui
Volume
99
Number
28
Pages
e20827
Language
english
Notes
Publication types: Case Reports ; Journal Article ; Review
Publication Status: ppublish
Publication Status: ppublish
Abstract
Cystic lymphangioma (CL) is a rare benign tumor resulting from a failure of the lymphatic system development. It may occur at any age but it is more frequent during childhood. Its clinical presentation and location are various but abdominal CL are uncommon. Among those, mesenteric presentation is the most frequent form whereas CL of the retroperitoneum are particularly rare.
Herein, we report the case of a 17-years-old patient with no medical history who presented with right-upper quadrant (RUQ) pain, but no other symptom. Physical examination showed tenderness of the RUQ without distension. Lab tests were unremarkable.
Abdominal computed tomography (CT) highlighted a retroperitoneal cystic mass potentially infiltrating the mesenterium, raising suspicion of a CL of the retroperitoneum. Diagnosis of CL was confirmed by histological analyses.
Patient underwent an exploratory laparoscopy that infirmed infiltration of the mesenterium and allowed for resection.
Postoperative course was uneventful and there is no evidence of recurrence after 14 months of follow-up.
Although CL essentially occur in children, pediatric retroperitoneal CL is a rare finding, with only 21 cases identified in the literature.In summary, CL are benign tumors rarely located in the retroperitoneum. Despite performant imaging technologies, preoperative diagnosis is challenging. Whenever possible, laparoscopic resection should be the treatment of choice. Herein, we report the largest CL pediatric case laparoscopically resected, and the first review of the literature on the topic.
Herein, we report the case of a 17-years-old patient with no medical history who presented with right-upper quadrant (RUQ) pain, but no other symptom. Physical examination showed tenderness of the RUQ without distension. Lab tests were unremarkable.
Abdominal computed tomography (CT) highlighted a retroperitoneal cystic mass potentially infiltrating the mesenterium, raising suspicion of a CL of the retroperitoneum. Diagnosis of CL was confirmed by histological analyses.
Patient underwent an exploratory laparoscopy that infirmed infiltration of the mesenterium and allowed for resection.
Postoperative course was uneventful and there is no evidence of recurrence after 14 months of follow-up.
Although CL essentially occur in children, pediatric retroperitoneal CL is a rare finding, with only 21 cases identified in the literature.In summary, CL are benign tumors rarely located in the retroperitoneum. Despite performant imaging technologies, preoperative diagnosis is challenging. Whenever possible, laparoscopic resection should be the treatment of choice. Herein, we report the largest CL pediatric case laparoscopically resected, and the first review of the literature on the topic.
Keywords
Abdominal Pain/etiology, Adolescent, Aftercare, Child, Child, Preschool, Female, Humans, Laparoscopy/methods, Lymphangioma, Cystic/surgery, Male, Mesentery/diagnostic imaging, Mesentery/pathology, Mesentery/surgery, Retroperitoneal Neoplasms/surgery, Retroperitoneal Space/diagnostic imaging, Retroperitoneal Space/pathology, Tomography, X-Ray Computed/methods, Treatment Outcome
Pubmed
Open Access
Yes
Create date
24/07/2020 10:59
Last modification date
08/08/2024 6:34