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Mesenteric polycystic lymphangiomatosis in a pediatric patient. Case report

By
Giovanni Callizaya Macedo ,
Giovanni Callizaya Macedo

Médico Cirujano Pediatra. Hospital del Niño “Dr. Ovidio Aliaga Uría”. La Paz, Bolivia

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Jhossmar Cristians Auza-Santivañez ,
Jhossmar Cristians Auza-Santivañez

Ministerio de Salud y Deportes. Instituto Académico Científico Quispe-Cornejo. La Paz, Bolivia

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Evely Rocio Cussi Quitihuari ,
Evely Rocio Cussi Quitihuari

Residente de Neonatología. Hospital de Especialidades Materno Infantil La Paz. La Paz, Bolivia

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Daniel Ramiro Elías Vallejos Rejas ,
Daniel Ramiro Elías Vallejos Rejas

Facultad de Medicina. Universidad Privada del Valle Bolivia. Santa Cruz, Bolivia

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Jose Bernardo Antezana-Muñoz ,
Jose Bernardo Antezana-Muñoz

Hospital Elizabeth Seton. Caja Petrolera de Salud Cochabamba.Cochabamba, Bolivia

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Magaly Zurita Villazón ,
Magaly Zurita Villazón

Caja de Salud CORDES. Cochabamba, Bolivia

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Abstract

Introduction: Mesenteric polycystic lymphangiomas are rare cystic tumors, with a 5% incidence compared to their incidence in the neck and axillae (95%), seen more frequently in pediatric patients, rare in patients over 20 years of age.
Clinical case: A 3-year-old male patient presents with a clinical picture of one day of evolution, reporting abdominal pain of moderate intensity, temperature rises and vomiting. Physical findings show abdominal distension, with ultrasound showing a polycystic lesion, and contrast-enhanced tomography corroborating a lobulated multi-separated cystic formation. Exploratory laparotomy revealed a polycystic tumor at the level of the ileum mesentery. The anatomopathological study describes a polycystic mesenteric lesion. Exeresis is performed and the postoperative evolution is satisfactory.
Conclusions: Polycystic mesenteric lymphangiomatosis is a rare tumor that mainly affects the mesentery of the small intestine and/or colon. In pediatric age, this condition should be considered as a differential diagnosis of acute abdomen. Conventional or laparoscopic surgery is the cornerstone of treatment

How to Cite

1.
Callizaya Macedo G, Auza-Santivañez JC, Cussi Quitihuari ER, Vallejos Rejas DRE, Antezana-Muñoz JB, Zurita Villazón M. Mesenteric polycystic lymphangiomatosis in a pediatric patient. Case report. SCT Proceedings in Interdisciplinary Insights and Innovations [Internet]. 2024 Jun. 12 [cited 2024 Jul. 18];2:343. Available from: https://proceedings.saludcyt.ar/index.php/piii/article/view/343

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