alexa Laparoscopic excision of a retroperitoneal lymphatic malformation in a newborn.


Journal of Medical Diagnostic Methods

Author(s): Solari V, Mullassery D, Lansdale N, Jesudason EC

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Abstract Abdominal lymphatic malformations may be challenging to eradicate. Retroperitoneal lesions may more difficult to resect than mesenteric ones; however, the latter may predispose to intestinal volvulus, leading to calls for their prompt excision. Such lesions identified perinatally may pose particular challenges: in one case, respiratory failure caused by abdominal distension required emergency drainage followed by later laparoscopic excision; laparoscopy has also been used promptly to diagnose and resect neonatal mesenteric lymphatic malformations with their inherent volvulus risk. We illustrate that even if neonatal laparoscopy identifies a retroperitoneal rather than mesenteric lymphatic malformation, curative endosurgical excision remains feasible. Copyright © 2011 Elsevier Inc. All rights reserved. This article was published in J Pediatr Surg and referenced in Journal of Medical Diagnostic Methods

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