Management of severe symptomatic abdominal lymphatic malformation complicated by abscess formation, protein-losing gastroenteropathy, and bleeding
Ono, H., Honda, S., Miyagi, H., Minato, M., Ara, M., Kondo, T., Okumura, K., Okada, T., Taketomi, A. (2022). Management of severe symptomatic abdominal lymphatic malformation complicated by abscess formation, protein-losing gastroenteropathy, and bleeding. EKB Journal Management System, 18(1), -. doi: 10.1186/s43159-022-00230-y
Hitoshi Ono; Shohei Honda; Hisayuki Miyagi; Masashi Minato; Momoko Ara; Takafumi Kondo; Kazuyoshi Okumura; Tadao Okada; Akinobu Taketomi. "Management of severe symptomatic abdominal lymphatic malformation complicated by abscess formation, protein-losing gastroenteropathy, and bleeding". EKB Journal Management System, 18, 1, 2022, -. doi: 10.1186/s43159-022-00230-y
Ono, H., Honda, S., Miyagi, H., Minato, M., Ara, M., Kondo, T., Okumura, K., Okada, T., Taketomi, A. (2022). 'Management of severe symptomatic abdominal lymphatic malformation complicated by abscess formation, protein-losing gastroenteropathy, and bleeding', EKB Journal Management System, 18(1), pp. -. doi: 10.1186/s43159-022-00230-y
Ono, H., Honda, S., Miyagi, H., Minato, M., Ara, M., Kondo, T., Okumura, K., Okada, T., Taketomi, A. Management of severe symptomatic abdominal lymphatic malformation complicated by abscess formation, protein-losing gastroenteropathy, and bleeding. EKB Journal Management System, 2022; 18(1): -. doi: 10.1186/s43159-022-00230-y

Management of severe symptomatic abdominal lymphatic malformation complicated by abscess formation, protein-losing gastroenteropathy, and bleeding

Annals of Pediatric Surgery
Volume 18, Issue 1, January 2022  XML PDF (1.06 MB)
DOI: 10.1186/s43159-022-00230-y
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Authors
Hitoshi Ono; Shohei Honda email orcid ; Hisayuki Miyagi; Masashi Minato; Momoko Ara; Takafumi Kondo; Kazuyoshi Okumura; Tadao Okada; Akinobu Taketomi
Abstract
Background
The optimal strategy for the management of patients with severe symptomatic abdominal lymphatic malformation (ALM) complicated by abscess formation, protein-losing gastroenteropathy, and bleeding has not yet been established. The present study aimed to determine an appropriate management for patients with severe symptomatic ALM, particularly for those with abdominal complications.
Materials and methods
Eight infants and young adults who underwent emergency surgery for ALM in our department, between the years 1997 and 2020, were selected for the study. We also evaluated and compared the operative procedures, operative timing, and postoperative surgical outcomes.
Results
Emergency resection was performed in all patients with bleeding. Some patients presented with ALMs that invaded the adjacent organs. Resections that included the involved organs were necessary to achieve full resolution in three patients. After evaluating the diagnostic modalities for symptomatic ALM, we also performed elective surgery for patients without bleeding.
Conclusions
Clinicians should be aware of severe symptomatic ALM with or without bleeding, as well as its associated complications, in order to select the best surgical management plan.
Keywords
Abscess formation; Bleeding; Management; Protein-losing gastroenteropathy; Severe symptomatic abdominal lymphatic malformation
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