Retroperitoneal lymphangioma presenting as acute abdomen: A case report
| Autor: | Koviljka Matušan Ilijaš, Katja Gavrić, Harry Nikolić, Jelena Roganović, Mirko Balić |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Physical examination acute abdomen akutni abdomen apendektomija limfangiom Lymphangioma medicine Surgical emergency medicine.diagnostic_test business.industry General Medicine BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Pedijatrija medicine.disease appendectomy Appendicitis Surgery body regions Acute abdomen BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Pediatrics Vomiting lymphangioma medicine.symptom Differential diagnosis business |
| Zdroj: | Medicina Fluminensis : Medicina Fluminensis Volume 54 Issue 4 |
| ISSN: | 1847-6864 1848-820X 1848-1868 |
| DOI: | 10.21860/medflum2018_207362 |
| Popis: | Cilj: Prikazati pedijatrijskog bolesnika s retroperitonealnim limfangiomom koji se prezentirao kao akutni abdomen. Prikaz slučaja: Dvanaestogodišnji dječak hospitaliziran je zbog akutnih grčevitih bolova u trbuhu praćenih povraćanjem i povišenim laboratorijskim upalnim parametrima. Zbog sumnje na akutni apendicitis učinjena je hitna klasična apendektomija. Drugog postoperativnog dana nastupilo je pogoršanje općeg stanja s febrilitetom i difuznim abdominalnim bolovima. Slikovnim pretragama abdomena prikazana je pseudocistična septirana tvorba koja je sugerirala limfangiom. Po provedenoj energičnoj potpornoj terapiji i poboljšanju općeg stanja učinjena je kompletna kirurška resekcija tumora. Postoperativni tijek protekao je uredno. Patohistološki nalaz potvrdio je dijagnozu limfangioma. Šest mjeseci nakon operativnog zahvata dječak je bez tegoba s urednim kliničkim i ultrazvučnim nalazom. Zaključak: Akutni abdomen je hitno kirurško stanje vrlo različite etiologije, koje posebice u djece zahtjeva pažljiv pristup. U diferencijalnoj dijagnozi akutnog abdomena treba razmišljati i o limfangiomu. Detaljna anamneza, pažljiv klinički pregled, radiološka i laboratorijska obrada značajno utječu na izbor terapije i prognozu bolesti. Aim: To report a case of a pediatric patient with acute abdomen due to a retroperitoneal lymphangioma. Case report: A 12-year old boy was admitted to the hospital due to acute spasmodic abdominal pain, accompanied by vomiting and raised inflammatory markers. A classical appendectomy was performed due to clinical suspicion of appendicitis. On the second post-operative day, the general condition deteriorated, with fever and diffuse abdominal pain. Abdominal imaging studies demonstrated a pseudocystic septic formation suggestive of lymphangioma. Following extensive supportive therapy and improvement of general condition, the tumor was completely surgically resected. The postoperative course was uneventful. Histopathological examination confirmed the diagnosis of lymphangioma. Six months after the surgery, the boy is doing well and his clinical and ultrasound follow-up examinations are normal. Conclusion: Acute abdomen is a surgical emergency with many possible causes, which requires a careful approach regarding the specifics of the pediatric population. Whilst creating a differential diagnosis, lymphangioma should be considered. Detailed history, careful physical examination and radiological investigations are of great impact on the choice of treatment and the prognosis of the disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|