Subserous lymphangioma of the sigmoid colon: an uncommon cause of acute abdomen in pediatric patients

Authors

  • Bianca Furlan Fernandes University of São Paulo. Faculty of Medicine. Hospital das Clínicas. Pediatrics Department
  • Érika Neves de Souza Moraes University of São Paulo. Faculty of Medicine. Hospital das Clínicas. Pediatrics Department
  • Francini Rossetto de Oliveira University of São Paulo. Faculty of Medicine
  • Gabriel Núncio Benevides University of São Paulo. Faculty of Medicine. Department of Pediatrics
  • Aloísio Felipe-Silva University of São Paulo. Hospital Universitário. Anatomic Pathology Service - University of São Paulo. Faculty of Medicine. Pathology Department
  • Cristiane Rúbia Ferreira University of São Paulo. Hospital Universitário. Anatomic Pathology Service
  • Paulo Sérgio Martins de Alcântara University of São Paulo. Hospital Universitário. Surgery Division
  • Flavio Tokeshi University of São Paulo. Hospital Universitário. Surgery Division
  • João Augusto dos Santos Martinês University of São Paulo. Hospital Universitário. Imaging Diagnostic Service
  • Ângela Espósito Ferronato University of São Paulo. Hospital Universitário. Pediatric Division

DOI:

https://doi.org/10.4322/acr.2015.026

Keywords:

Lymphangioma, Cystic, Colon, Sigmoid, Abdomen, Acute, Surgical Procedure, Operative

Abstract

Lymphangioma is a rare, benign lesion derived from a malformation of the lymphatic system, which is more frequently found in the head, neck, and axilla. However, it may be present anywhere in the body, and the diagnosis involves adults as children with some distinct clinical features among them. In pediatric patients, abdominal cystic lymphangioma occurs mostly in the mesentery presenting abdominal pain, intestinal obstruction, or, more rarely, hemorrhage. The authors report the case of a child with a short-course history of fever, abdominal pain, and constipation. The physical examination disclosed the presence of an abdominal mass and signs of peritoneal irritation. Imaging was consistent with a cystic lesion compressing the sigmoid colon and laterally displacing the remaining loops. Exploratory laparotomy was undertaken, and a sigmoidectomy, followed by Hartman’s colostomy, was performed. Histological examination revealed the nature of the lesion as a cystic lymphangioma. The authors highlight the clinical features of this entity and call attention to this disease in the differential diagnosis of acute abdomen or abdominal pain, mainly in pediatric patients

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Published

2015-12-10

How to Cite

Fernandes, B. F., Moraes, Érika N. de S., Oliveira, F. R. de, Benevides, G. N., Felipe-Silva, A., Ferreira, C. R., Alcântara, P. S. M. de, Tokeshi, F., Martinês, J. A. dos S., & Ferronato, Ângela E. (2015). Subserous lymphangioma of the sigmoid colon: an uncommon cause of acute abdomen in pediatric patients. Autopsy and Case Reports, 5(4), 65-70. https://doi.org/10.4322/acr.2015.026

Issue

Section

Article / Clinical Case Report