https://doi.org/10.4081/pmc.2025.348
Abdominal lymphatic malformations in children: case series
Submitted: 31 July 2024
Accepted: 24 October 2024
Published: 22 January 2025
Accepted: 24 October 2024
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Lymphatic Malformations (LMs) are benign congenital malformations of the lymphatic system that commonly involve the abdomen in children (mesentery of the small intestine and omentum). The management of these malformations is not unique. 7 children with different ages (range: newborn to 14 years), diagnosis was incidental in some cases, while in others for abdominal pain. All patients underwent abdominal ultrasound and Magnetic Resonance Imaging (MRI). Laparoscopy for diagnosis was useful in 4 cases. Treatment was: conservative in 1 child, laparoscopic excision in 3 patients, laparotomic excision in 3 cases. At follow up we observed recurrence in a case that required integrated treatment and bowel occlusion after excision in 1 case. This benign malformations may not cause any symptoms to patient. The goal of treatment is to maintain organ function, preserve aesthetic integrity and complications control. Management of these patients could be varied: the best approach should be evaluated on the basis of the patient.
1. Wohlgemuth WA, Brill R, Dendl LM et Al. Abdominal lymphatic malformations. Radiologe 2018;58:29-33.
2. Wassef M, Blei F, Adams D, et al. Vascular anomalies classification: recommendations from the International Society for the Study of Vascular Anomalies. Pediatrics 2015;136:e203-14.
3. Mulliken JB, Burrows PE, Fishman SJ (eds.). Mulliken and Young’s. Vascular Anomalies Hemangiomas and malformations. 2nd edition. pg 575.
4. Mendez-Gallert R, Solar-Boga A, Gomez-Tellado M, et al. Giant mesenteric cystic lymphatic malformation in an infant presenting with acute bowel obstruction. Can J Surg 2009;52:e42–3.
5. Cahill AM, Nijs EL. Pediatric vascular malformations: pathophisiology, diagnosis, and the role of international radiology. Cardiovascular Intervent Radiol 2011;34:691-704.
6. Lee S, Park J. Abdominal lymphatic malformation in children. Adv Pediatr Surg 2018;24:60-7.
7. Hyvönen H, Aronniemi J, Salminen P, et al. Operative management of intra-abdominal lymphatic malformations in children: a single tertiary center experience. J Pediatr Surg 2024;59:1875-8.
8. Thiam O, Faye PM, Niasse A, et al. Cystic mesenteric lymphangioma: A case report. Intern J Surg Case reports 2019;61;318-21.
9. Steyaert H, Guitard J, Moscovici J, et al. Abdominal cystic lymphangioma in children: benign lesions that can have a proliferative course. J Pediatr Surg 1996;31:677–80.
10. Saviano MS, Fundaro S, Gelmini R, et al. Mesenteric cystic neoformations: report of two cases. Surg Today 1999;29:174–7.
11. Goh BKP, Tan YM, Ong HS, et al. Intra-abdominal and retroperitoneal lymphangiomas in pediatric and adult patients. World J Surg 2005;29:837–40.
12. Makni A, Chebbi F, Fetirich F, et al. Surgical management of intra-abdominal cystic lymphangioma. Report of 20 cases. World J Surg 2012;36:1037-43.
13. Kim SH, Kim HY, Lee C, et al. Clinical features of mesenteric lymphatic malformation in children. J Pediatr Surg 2016;51:582–7.
14. Liu Q, Fu J, Yu Q, et al. Laparoscopic surgery of intra-abdominal lymphatic malformation in children. Exp Ther Med 2022;24:581.
15. Bertozzi M, Ruffoli M, Vatta F, et al. The effectiveness of abdominal lymphangioma laparoscopic removal in children: a single center experience. J Laparoendosc Adv Surg Tech A 2021;31:1367-71.
16. Qingjiang C, Shuhao Z, Wenjuan L, et al. Robotic-assisted laparoscopic management of mesenteric cysts in children. Front Pediatr 2023;10:1089168.
17. Wohlgemuth WA, Dendl LM, Brill R, et al. Abdominal lymphatic malformations. German version. Radiologe 2018;58:19–24.
18. Russell KW, Rollins MD, Feola GP, et al. Sclerotherapy for intra-abdominal lymphatic malformations in children. Eur J Pediatr Surg 2014;24:317–21.
19. Zamora AK, Barry WE, Nowicki D, et al. A multidisciplinary approach to management of abdominal lymphatic malformations. J Pediatr Surg 2021;56:1425e9.
20. Madsen HJ, Annam A, Harned R, et al. Symptom resolution and volumetric reduction of abdominal lymphatic malformations with sclerotherapy. J Surg Res 2019;233:256e61
21. Venot Q, Blanc T, Rabia SH, et al. Targeted therapy in patients with PIK3CA related overgrowth syndrome. Nature 2018;558:540e6.
22. Kulungowski AM, Patel M. Lymphatic malformations. Semin Pediatr Surg 2020;29:150971.
How to Cite
Noviello, C., Papparella, A., Bertozzi, M., Riccipetitoni, G., Cascone, I., Botta, C., … Romano, M. (2025). Abdominal lymphatic malformations in children: case series. La Pediatria Medica E Chirurgica, 47(1). https://doi.org/10.4081/pmc.2025.348
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