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https://doi.org/10.21860/medflum2018_207362

Retroperitoneal lymphangioma presenting as acute abdomen: A case report

Katja Gavrić ; Medicinski fakultet Sveučilišta u Rijeci, Rijeka
Mirko Balić ; Klinika za radiologiju, Klinički bolnički centar Rijeka, Rijeka
Harry Nikolić ; Klinika za dječju kirurgiju, Klinički bolnički centar Rijeka, Rijeka
Koviljka Matušan Ilijaš ; Zavod za patologiju, Klinički bolnički centar Rijeka, Rijeka
Jelena Roganović ; Klinika za pedijatriju, Klinički bolnički centar Rijeka, Rijeka

Abstract

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.

Keywords

acute abdomen; appendectomy; lymphangioma

Hrčak ID:

207362

URI

https://hrcak.srce.hr/207362

Publication date:

1.12.2018.

Article data in other languages: croatian

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