Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Research Article Volume 4 Issue 10

Clinical Case of a 14-Year-Old Boy with Abdominal Stem-Shaped Twisted Necrotizing Vascular Malformation

Yu Yu Sokolov1, SV Stonogin2*, EE Bibikova1, EA Tashirova2 and Zh R Omarova3

1Russian Medical Academy of Continuing Postgraduate Education, Moscow, Russia
2Municipal Clinical Childrens Hospital Named After Z.A. Bashlyaeva, Moscow, Russia
3Children's State Hospital of St. Vladimir, Moscow, Russia

*Corresponding Author: SV Stonogin, Surgical Department, unicipal Clinical Childrens Hospital Named After Z.A. Bashlyaeva, Moscow, Russia.

Received: September 13, 2021; Published: September 23, 2021


  Lymphatic malformations (LM) are benign neoplasms that form as a result of impaired formation of embryonic lymphatic sacs during embryogenesis.

A 14-year-old boy was admitted to the department of infectious diseases with complaints of fever, weakness, abdominal pain, sore throat and loose stools. Previously, the patient had complaints of abdominal pain for a year; ultrasound examination of the abdominal cavity was performed repeatedly, in which no pathological changes were detected. The patient underwent laparoscopic appendectomy; During the revision of the abdominal cavity, a space-occupying lesion emerging from the mesentery of the ascending colon and twisted around the vascular pedicle by 3 turns was revealed. Education removed. Histological and immunohistochemical examination confirmed the diagnosis of lymphatic-venous malformation.

Keywords: Lymphatic Malformation; Laparoscopy; Dysembryogenesis; Intra-Abdominal Malformation; Minimally Invasive Intervention; Immunohistochemical Study; Podoplanin; Abdominal Pain


  1. VK Litovka., et al. “Large cystic lymphangioma of the retroperitoneal space and small pelvis with involvement of the inguinal canals and scrotum”. Clinical Case42 (2012): 127-129.
  2. Kh M Bataev., et al. “Organ sparing interventions in children with nonparasitic spleen cysts”. Russian Bulletin of Pediatric Surgery, Anesthesiology and Resuscitation 7 (2017): 34-35.
  3. II Babich and GL Shilov. “Complicated lymphangiomas of the mesentery root in a 12 year old child”. Russian Bulletin of Pediatric Surgery, Anesthesiology and Resuscitation (2015): 75-76.
  4. LV Angarkhaeva., et al. “First experience of endoscopic resection of the large retroperitoneal lymphangiomas in children”. Siberian Journal of Medicine 4 (2015): 98-100.
  5. IV Poddubny., et al. “Surgical treatment of lymphangiomas in children: clinical case series Oncopediarics 1 (2019): 53-64.
  6. SM Bataev., et al. “Endosurgical treatment in children with lymphangiomas of rare localizations”. Russian Bulletin of Pediatric Surgery, Anesthesiology and Resuscitation 7 (2015): 68-69.
  7. TA Sharoev., et al. “Lymphangiomas of the mesentery of the small intestine in children (literature review and own clinical observations)”. Russian Bulletin of Pediatric Surgery, Anesthesiology and Resuscitation 2 (2012): 58-63.
  8. BK Altyev., et al. “Lymphangioma of the small intestinal mesentery”. Annals of the Emergency Medicine (2017): 69-73.
  9. DA Morozov., et al. “Cystic lesions of spleen in children”. Scientific Medical Journal of Saratov3 (2011): 724-726.
  10. MA Akselrov., et al. “Two cases of surgical treatment of the lymphangioma of the small intestine mesentery in newborns”. Pediatric Surgery5 (2017): 277-279.
  11. YuYu Sokolov D.V., et al. “Surgical interventions in children with intraabdominal lymphangiomas”. Russian Bulletin of Pediatric Surgery, Anesthesiology and Resuscitation 1 (2014): 20-24.
  12. Bagrodia N., et al. “Management of lymphatic malformations in children”. Current Opinion in Pediatrics3 (2015): 356-363.
  13. Jiao-ling L., et al. “Fetal Lymphangioma: Prenatal Diagnosis on Ultrasound, Treatment, and Prognosis”. European Journal of Obstetrics and Gynecology (2018): 1-18.
  14. Gunadi Kashogi G., et al. “Pediatric patients with mesenteric cystic lymphangioma: A case series”. International Journal of Surgery Case Reports 64 (2019): 89-93.
  15. Soo-Hong K., et al. “Clinical features of mesenteric lymphatic malformation in children”. Journal of Pediatric Surgery4 (2016).
  16. Otsubo Y., et al. “Small-Bowel Volvulus Caused By Mesenteric Lymphangioma”. Clinical Gastroenterology and Hepatology (2019).
  17. Chen J., et al. “Experience in the diagnosis and treatment of mesenteric lymphangioma in adults: A case report and review of literature”. World Journal Gastrointestinal Oncology12 (2018): 522-527.
  18. Ousmane T., et al. “Cystic mesenteric lymphangioma: A case report”. International Journal of Surgery Case Reports 61 (2019): 318-321.
  19. Weeda VB., et al. “Mesenteric cystic lymphangioma: a congenital and an acquired anomaly? Two cases and a review of the literature”. Journal of Pediatric Surgery 43 (2008): 1206-1208.
  20. Capasso R., et al. “Lymphangioma of the small bowel mesentery in a 7-year-old girl: a report of a case investigated with ultrasonography, elastosonography and computed tomography”. Journal Ultrasound 18 (2015): 297-300.
  21. Suthiwartnarueput W., et al. “Lymphangioma of the small bowel mesentery: A case report and review of the literature”. World Journal Gastroenterol 43 (2012): 6328-6332.
  22. Budusan A., et al. “Isolated hepatic lymphangiomas in children: Two case reports”. Journal of Pediatric Surgery Case Reports 56 (2020): 401-430.


Citation: SV Stonogin., et al. “Clinical Case of a 14-Year-Old Boy with Abdominal Stem-Shaped Twisted Necrotizing Vascular Malformation”. Acta Scientific Gastrointestinal Disorders 4.10 (2021): 43-48.


Copyright: © 2021 SV Stonogin., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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