Médico Cirujano Pediatra. Hospital del Niño “Dr. Ovidio Aliaga Uría”. La Paz, Bolivia
Ministerio de Salud y Deportes. Instituto Académico Científico Quispe-Cornejo. La Paz, Bolivia
Residente de Neonatología. Hospital de Especialidades Materno Infantil La Paz. La Paz, Bolivia
Facultad de Medicina. Universidad Privada del Valle Bolivia. Santa Cruz, Bolivia
Hospital Elizabeth Seton. Caja Petrolera de Salud Cochabamba.Cochabamba, Bolivia
Caja de Salud CORDES. Cochabamba, Bolivia
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
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