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A Journal on Surgery

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Chirurgia 2001 April;14(2):109-12

language: English

Neonatal acute abdomen due to twisted omental lymphangioma

Messina M., Ferrucci E., Meucci D., Garzi A., Ilardi A.


Omental lymphangioma is a rare clinical finding, generally encountered in pediatric and adolescent ages, with its highest prevalence (75%) in children between the ages of 12 months and 5 years. Due to the often scarce symptoms, the documentation of this lesion is often a pure chance phenomenon. Furthermore, even when clinically evident, its symptoms are altogether variable, ranging from recurrent abdominal pain to intestinal occlusion secondary to external ileal mass compression. Consequently, and due to its very low incidence, omental lymphangioma is not habitually considered among the possible diagnoses of childhood abdominal pathologies. It is most frequently recognized after surgical intervention during pathological specimen evaluation. The authors report a clinical case of seriously symptomatic omental lymphangioma in a fit‹for‹date female patient. The abdominal mass was initially revealed during a routine prenatal ultrasound examination, and was clinically evident a few hours after birth. An immediate and radical surgical intervention allowed us to obtain a brilliant resolution of the clinical picture. At 2 year- follow-up, the girl was found to be free from recurrent disease.

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