ABSTRACT
Congenital chylous ascites is a rare polietiologic entity, requiring close study of the infant's organism by visualization methods in order to diagnose the bening or malignant underlying pathology. In the article is given a report on case of congenital chylous ascites in infant, caused by lymphangioma in the peritoneal cavity. Atypical clinic and the lack of diagnostic standards led to the later detection of the ascite's origin.
Subject(s)
Chylous Ascites/congenital , Chylous Ascites/pathology , Lymphangioma/congenital , Lymphangioma/pathology , Peritoneal Neoplasms/congenital , Peritoneal Neoplasms/pathology , Humans , Infant , MaleABSTRACT
BACKGROUND: Mesenteric lymphangioma are rare tumours. They usually present early on in life, if congenital, or soon after trauma. The usual sites of presentation of lymphangiomas are in the neck, and axillae. In the abdomen they are more common in the mesentery, primarily of the ileum, or retroperitoneal. OBJECTIVE: A rare case is presented of a mesenteric lymphangioma. CLINICAL CASE: It involves an elderly African-American male, many years after trauma, and characterised with early satiety, causing weight loss, but without gastric outlet obstruction or vomiting. Its diagnosis, management and review of literature are presented. CONCLUSIONS: Mesenteric cysts are rare tumours that should be included as differential diagnosis in elderly patients with a history of previous abdominal trauma.
Subject(s)
Lymphangioma, Cystic/etiology , Omentum/pathology , Peritoneal Neoplasms/etiology , Aged , Diagnosis, Differential , Humans , Laparotomy , Liver/injuries , Lymphangioma, Cystic/congenital , Lymphangioma, Cystic/pathology , Lymphangioma, Cystic/surgery , Magnetic Resonance Imaging , Male , Nausea/etiology , Omentum/surgery , Peritoneal Neoplasms/congenital , Peritoneal Neoplasms/pathology , Peritoneal Neoplasms/surgery , Reoperation , Satiation , Time Factors , Tissue Adhesions/surgery , Tomography, X-Ray Computed , Wounds, GunshotABSTRACT
Only three primary peritoneal mesotheliomas in children have been previously reported. We describe a 6-wk-old girl with a papillary peritoneal mesothelioma of low grade malignancy. This is probably a congenital mesothelioma and is the youngest patient reported to date.
Subject(s)
Mesothelioma/congenital , Peritoneal Neoplasms/congenital , Female , Humans , Infant , Mesothelioma/pathology , Peritoneal Neoplasms/pathologyABSTRACT
Chylous ascites is a rare case of peritonitis. We report here a case arising in a 21-year-old lady.
Subject(s)
Chylous Ascites/complications , Peritonitis/etiology , Abdominal Pain/etiology , Acute Disease , Adult , Appendectomy , Chylous Ascites/diagnosis , Chylous Ascites/surgery , Diet, Fat-Restricted , Drainage , Female , Fever/etiology , Humans , Kidney Neoplasms/congenital , Kidney Neoplasms/diagnosis , Kidney Neoplasms/diet therapy , Laparoscopy , Lymphangioleiomyomatosis/congenital , Lymphangioleiomyomatosis/diagnosis , Lymphangioleiomyomatosis/diet therapy , Mesentery , Peritoneal Lavage , Peritoneal Neoplasms/congenital , Peritoneal Neoplasms/diagnosis , Peritoneal Neoplasms/diet therapy , Peritonitis/diagnosis , Peritonitis/surgery , Splenic Neoplasms/congenital , Splenic Neoplasms/diagnosis , Splenic Neoplasms/diet therapy , Tomography, X-Ray Computed , Triglycerides/therapeutic useSubject(s)
Lymphangioma, Cystic/congenital , Mesentery , Peritoneal Neoplasms/congenital , Age Factors , Humans , Infant, Newborn , Lymphangioma, Cystic/diagnosis , Lymphangioma, Cystic/diagnostic imaging , Lymphangioma, Cystic/surgery , Magnetic Resonance Imaging , Male , Mesentery/diagnostic imaging , Mesentery/pathology , Peritoneal Neoplasms/diagnosis , Peritoneal Neoplasms/diagnostic imaging , Peritoneal Neoplasms/pathology , Peritoneal Neoplasms/surgery , Ultrasonography, PrenatalSubject(s)
Lymphangioma, Cystic/diagnosis , Lymphangioma, Cystic/surgery , Mesenteric Cyst/diagnosis , Mesenteric Cyst/surgery , Peritoneal Neoplasms/diagnosis , Peritoneal Neoplasms/surgery , Diagnosis, Differential , Female , Follow-Up Studies , Humans , Image Interpretation, Computer-Assisted , Imaging, Three-Dimensional , Infant, Newborn , Lymphangioma, Cystic/congenital , Lymphangioma, Cystic/pathology , Magnetic Resonance Imaging , Mesenteric Cyst/congenital , Mesenteric Cyst/pathology , Peritoneal Neoplasms/congenital , Peritoneal Neoplasms/pathology , PrognosisSubject(s)
Gastrointestinal Hemorrhage/etiology , Hemangioma/congenital , Intestinal Neoplasms/congenital , Neoplasms, Multiple Primary/congenital , Skin Neoplasms/congenital , Hemangioma/drug therapy , Hemangioma/pathology , Humans , Infant, Newborn , Intestinal Neoplasms/pathology , Male , Mesentery/pathology , Neoplasms, Multiple Primary/drug therapy , Occult Blood , Peritoneal Neoplasms/congenital , Peritoneal Neoplasms/pathology , Prednisone/therapeutic useABSTRACT
The report describes a case of a newborn with a huge congenital abdominal peripheral primitive neuroectodermal tumor, with peritoneal dissemination and cutaneous involvement, and discusses literature data. Peripheral primitive neuroectodermal tumor is an exceedingly uncommon tumor in this age group and is characterized by very aggressive behavior and poor prognosis.
Subject(s)
Infant, Newborn, Diseases/pathology , Neuroectodermal Tumors, Primitive, Peripheral/pathology , Peritoneal Neoplasms/pathology , Skin Neoplasms/pathology , Adult , Fatal Outcome , Female , Humans , Infant, Newborn , Infant, Newborn, Diseases/drug therapy , Infant, Newborn, Diseases/metabolism , Neuroectodermal Tumors, Primitive, Peripheral/congenital , Neuroectodermal Tumors, Primitive, Peripheral/drug therapy , Neuroectodermal Tumors, Primitive, Peripheral/metabolism , Peritoneal Neoplasms/congenital , Peritoneal Neoplasms/drug therapy , Peritoneal Neoplasms/metabolism , Skin Neoplasms/congenital , Skin Neoplasms/drug therapy , Skin Neoplasms/metabolismABSTRACT
A case of a female fetus born with multiple developmental defects and leiomyomatosis peritonealis disseminata (LPD) is reported. The authors suspect that similar etiologic factors may be responsible for both the developmental defects and LPD.
Subject(s)
Abnormalities, Multiple , Leiomyoma/congenital , Peritoneal Neoplasms/congenital , Female , Humans , Infant, Newborn , Leiomyoma/pathology , Peritoneal Neoplasms/pathologyABSTRACT
Malignant mesothelioma was diagnosed in a 16-day-old boy. As far as we know this is the first report of a congenital case of this disease.
Subject(s)
Mesothelioma/congenital , Peritoneal Neoplasms/congenital , Cytoplasm/ultrastructure , Humans , Infant, Newborn , Male , Mesothelioma/secondary , Mesothelioma/ultrastructure , Microscopy, Electron , Neoplasm Metastasis , Peritoneal Neoplasms/ultrastructureABSTRACT
Gastrointestinal hemangiomas, though rare, can be an important source of GI bleeding in infants. In the past, diagnosis has been hampered by a lack of reliable methods. With the recent advent of selective mesenteric angiography, the suspected diagnosis can be readily confirmed. Surgical resection remains the definitive therapy; steroid therapy has produced conflicting results.