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Stielgedrehtes, intraabdominales Lymphangiom

Seltene Ursache für akute Bauchschmerzen im Kindesalter

Intraabdominal lymphangioma

A rare cause of acute abdominal pain in children

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Zusammenfassung

Intraabdominale Lymphangiome sind seltene, benigne zystische Tumoren (Malformationen) der Lymphgefäße, die meist in der ersten Lebensdekade klinisch manifest werden. Wir berichten über ein 4-jähriges Mädchen mit akuten Bauchschmerzen. Abdomensonographisch zeigte sich ein multilokulärer zystischer Tumor, der am ehesten einem hämorrhagisch infarzierten Lymphangiom oder einer Mesenterialzyste entsprach. Intraoperativ und histologisch bestätigte sich die Verdachtsdiagnose im Sinne eines stielgedrehten Lymphangioms im Bereich des terminalen Ileums.

Abstract

Intestinal lymphangiomas are rare benign cystic tumors (malformations) of the lymphatic system, which are mainly found in young children within the first decade. We report the case of a four-year-old girl presenting with acute abdominal pain. Abdominal ultrasound showed a multilocular cystic tumor. Sonographic appearance was characteristic of a hemorrhaged intestinal lymphangioma or mesenteric cyst. The suspected diagnosis of a twisted cystic lymphangioma of the terminal ileum was confirmed both intraoperatively and histologically.

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Authors and Affiliations

  1. Klinik für Kinderchirurgie, Elisabeth-Krankenhaus, Klara-Kopp-Weg 1, 45138, Essen, Deutschland

    K. Eckert & P. Liedgens

  2. Klinik für Allgemein- und Viszeralchirurgie, Elisabeth-Krankenhaus, Essen, Deutschland

    A. Vossough

  3. Klinik für Neonatologie, Kinder- und Jugendmedizin, Elisabethkrankenhaus Essen, Essen, Deutschland

    D. Michna

  4. Institut für Pathologie, Kliniken Essen Mitte, Essen, Deutschland

    T. Zirbes

Authors
  1. K. Eckert
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  2. A. Vossough
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  3. D. Michna
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  4. T. Zirbes
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  5. P. Liedgens
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Corresponding author

Correspondence to K. Eckert.

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Eckert, K., Vossough, A., Michna, D. et al. Stielgedrehtes, intraabdominales Lymphangiom. Monatsschr Kinderheilkd 157, 368–371 (2009). https://doi.org/10.1007/s00112-008-1881-x

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  • DOI: https://doi.org/10.1007/s00112-008-1881-x

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