Microcystic Mesenteric Lymphatic Malformation, a Mimicker of Solid Masses in Pediatrics

Autor: Shamim Tayebi, Masoud Mahdavi Rashed, Majid Shams, Mona Maftouh
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Iranian Journal of Pediatric Surgery, Vol 6, Iss 2, Pp 113-117 (2020)
Druh dokumentu: article
ISSN: 2423-7612
DOI: 10.22037/irjps.v6i2.27456
Popis: Mesenteric microcystic lymphangioma is a rare benign abdominal mass. It appears as a solid mass which may mimic a solid mesenteric or omental mass. Pure microcystic lesions are ill-defined and hyperechoic due to abundant wall interfaces. A case of mesenteric microcystic lymphangioma is presented in combination with appendicitis. A 6-year-old boy presented with rapid onset of abdominal pain accompanied by nausea and vomiting. Ultrasound showed a hyperechoic solid mass without vascularity at Doppler evaluation. Computed tomography showed a mass in the small bowel mesentery with attenuation values in the range of water. In the pathologic evaluation, mesenteric lymphangioma with small and medium-sized cysts was reported. Microcystic lymphatic malformation could be considered in the differential diagnosis of a solid abdominal mass in pediatrics and imaging features can be helpful to differentiate between them.
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