ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ CHẨN ĐOÁN HÌNH ẢNH NANG BẠCH HUYẾT Ổ BỤNG Ở TRẺ EM

Abstract

Purpose: Abdominal lymphangioma is a malformation of the lymphatic system that is present with cystic dilated lymphatics in the abdominal capacity. Method: Between 2017 and 2022, 83 patients underwent surgical resection of abdominal lymphangioma in National Children Hospital and were reviewed retrospectively. Result: 83 patients with the male/female ratio is 51/32. The mean age was 45,63 ± 31,49 months (1 month – 13 years). The common clinical presentation was abdominal pain (49,4%), a palpable mass (26,5%) and abdominal extension (22,9%). 13 patients (15,7%) were accidental and asymptomatic found. Ultrasound test was applied in all of the patients, which was valuable in definitive diagnosis and differential diagnosis. Computed tomography (CT scan) was performed in 22,9%, while Magnetic Resonance Imaging (MRI) was in 77,1% of the patients. The finding included the characteristics of the intra-abdominal cyst: number of cysts, size, location (peritoneum or retroperitoneum), inside fluid and the communication with surrounding vessels, mesenteric, or other organs. Conclusion: abdominal lymphangioma has atypical symptoms and variable characteristics related to the age of patients. Imaging diagnose procedure is valuable in getting definitive diagnosis and differential diagnosis as well as detecting complications.