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SHR Neuro Cancer Cardio Lipid Metab Microb
Gasparella, P; Singer, G; Castellani, C; Sorantin, E; Haxhija, EQ; Till, H.
Giant lymphatic malformation causing abdominal compartment syndrome in a neonate: a rare surgical emergency.
J Surg Case Rep. 2020; 2020(8): rjaa252-rjaa252.
Doi: 10.1093/jscr/rjaa252
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- Leading authors Med Uni Graz
- Gasparella Paolo
- Co-authors Med Uni Graz
- Castellani Christoph
- Haxhija Emir
- Singer Georg
- Sorantin Erich
- Till Holger
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- Abstract:
- Abdominal lymphatic malformations in neonates require sophisticated management. In symptomatic cases, acute complications may necessitate immediate surgery. We present the case of a giant abdominal lymphatic malformation diagnosed in the 18th gestational week. Sonographic concerns about intestinal hypoperfusion in the 33rd week of gestation indicated caesarean section. Postnatal imaging confirmed a macrocystic lymphatic malformation occupying almost the complete abdominal cavity; the intestinal perfusion was normal. Clinical deterioration on Day 13 of life required laparotomy. Intraoperatively, the lymphatic mass was located in the ileocecal mesentery. Two major cysts showed recent hemorrhage explaining the onset of abdominal compartment syndrome. The malformation was completely removed. An ileocecal resection with an ileocolic anastomosis was performed. The postoperative course was uneventful. In neonates with abdominal lymphatic malformations, an onset of abdominal compartment syndrome requires surgical exploration. If feasible, the complete removal of the lesion represents a curative option. Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020.