Preprint Case Report Version 1 Preserved in Portico This version is not peer-reviewed

Giant Intraabdominal Lymphangioma in a Pediatric Patient

Version 1 : Received: 14 March 2024 / Approved: 15 March 2024 / Online: 18 March 2024 (08:23:24 CET)

A peer-reviewed article of this Preprint also exists.

Candussi, I.-L.; Petecariu, A.; Lungu, M.; Busila, C.; Mihailov, R.; Neagu, A.; Lungu, C.N.; Sarbu, I.; Ciongradi, C.I. Giant Intraabdominal Lymphangioma in a Pediatric Patient—A Challenging Diagnosis. Clin. Pract. 2024, 14, 739-748. Candussi, I.-L.; Petecariu, A.; Lungu, M.; Busila, C.; Mihailov, R.; Neagu, A.; Lungu, C.N.; Sarbu, I.; Ciongradi, C.I. Giant Intraabdominal Lymphangioma in a Pediatric Patient—A Challenging Diagnosis. Clin. Pract. 2024, 14, 739-748.

Abstract

Introduction. Intra-abdominal cystic formations represent heterogeneous pathologies with varied localization and clinical manifestation. The first challenge of a giant intra-abdominal cystic lesion is identifying the organ of origin. The clinical presentation of intra-abdominal cystic lesions varies from acute manifestations to non-specific symptoms or accidental discovery. Case presentation: A 2-year-old girl presents to the emergency unit with a fever of 38.5 Celsius, loss of appetite, and apathy. The investigations showed a gigantic intra-abdominal mass whose organ belonging could not be specified. Postoperatively, a giant mesenteric lymphangioma was evident, which was completely excised. Discussions Giant cystic formations modify the anatomical reports and become space-replacing formations, and the starting point is even more challenging to assess preoperatively. Nevertheless, the careful evaluation of the characteristics of the formation, the effect on the adjacent organs, the age of the patient, and the clinical picture can provide elements of differential diagnosis.

Keywords

Intra-abdominal cyst; large masses; mesenteric lymphangioma

Subject

Medicine and Pharmacology, Medicine and Pharmacology

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