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Clinics and Practice
Volume 14
Issue 3
10.3390/clinpract14030059
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Case Report

Giant Intraabdominal Lymphangioma in a Pediatric Patient—A Challenging Diagnosis

by
Iuliana-Laura Candussi
1,
Alexandru Petecariu
1,
Mirela Lungu
1,
Camelia Busila
1,
Raul Mihailov
2,
Anca Neagu
3,
Claudiu N. Lungu
4,*,
Ioan Sarbu
5,* and
Carmen I. Ciongradi
5
1
Department of Pediatric Surgery, Clinical Country Children Emergency Hospital, Faculty of Medicine and Pharmacy, ‘Dunarea de Jos’ University, 800010 Galati, Romania
2
Department of Surgery, Clinical Country Emergency Hospital, 800578 Galati, Romania
3
Department of Pathology, Clinical Country Children Emergency Hospital, Faculty of Medicine and Pharmacy, ‘Dunarea de Jos’ University, 800010 Galati, Romania
4
Department of Functional and Morphological Science, Faculty of Medicine and Pharmacy, ‘Dunarea de Jos’ University, 800010 Galati, Romania
5
2nd Department of Surgery—Pediatric Surgery and Orthopedics, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iași, Romania
*
Authors to whom correspondence should be addressed.
Clin. Pract. 2024, 14(3), 739-748; https://doi.org/10.3390/clinpract14030059
Submission received: 13 March 2024 / Revised: 17 April 2024 / Accepted: 18 April 2024 / Published: 25 April 2024
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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. Discussion: 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. The stated purpose of this work is to systematize intra-abdominal lesions according to the organ of origin and to make the preoperative diagnosis of an intra-abdominal cystic lesion in the pediatric patient easy to perform starting from the presented case.
Keywords: intra-abdominal cyst; large masses; mesenteric lymphangioma intra-abdominal cyst; large masses; mesenteric lymphangioma

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MDPI and ACS Style

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. https://doi.org/10.3390/clinpract14030059

AMA Style

Candussi I-L, Petecariu A, Lungu M, Busila C, Mihailov R, Neagu A, Lungu CN, Sarbu I, Ciongradi CI. Giant Intraabdominal Lymphangioma in a Pediatric Patient—A Challenging Diagnosis. Clinics and Practice. 2024; 14(3):739-748. https://doi.org/10.3390/clinpract14030059

Chicago/Turabian Style

Candussi, Iuliana-Laura, Alexandru Petecariu, Mirela Lungu, Camelia Busila, Raul Mihailov, Anca Neagu, Claudiu N. Lungu, Ioan Sarbu, and Carmen I. Ciongradi. 2024. "Giant Intraabdominal Lymphangioma in a Pediatric Patient—A Challenging Diagnosis" Clinics and Practice 14, no. 3: 739-748. https://doi.org/10.3390/clinpract14030059

APA Style

Candussi, I.-L., Petecariu, A., Lungu, M., Busila, C., Mihailov, R., Neagu, A., Lungu, C. N., Sarbu, I., & Ciongradi, C. I. (2024). Giant Intraabdominal Lymphangioma in a Pediatric Patient—A Challenging Diagnosis. Clinics and Practice, 14(3), 739-748. https://doi.org/10.3390/clinpract14030059

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