Ultrasound Diagnostic of Torsion of Omental Lymphangioma in a Child with Intestinal Intussusception

Author:

Olkhova E. B.1ORCID,Topolnik M. V.2ORCID,Allakhverdiev I. S.2ORCID

Affiliation:

1. Moscow State University of Medicine and Dentistry named after A. I. Evdokimov Ministry of Healthcare of Russia; Moscow Clinical Municipal Children Hospital St. Vladimir of the Department of Healthcare of Moscow

2. Moscow Clinical Municipal Children Hospital St. Vladimir of the Department of Healthcare of Moscow

Abstract

Torsion of omental lymphangioma is a extremely rarity, the echographic picture is nonspecific (thin–walled cystic formation) and the diagnosis in the vast majority of cases is made only intraoperatively. It is almost never possible to reliably visualize actually torsion in the form of a whirlpool-sign. The article presents our own observation of the torsion of lymphangioma of the greater omentum in a 2-year-old girl. The onset of the disease was associated with the occurrence of intestinal intussusception, during the diagnosis of which, as a «random finding», a cystic formation of the abdominal cavity was revealed. The child underwent repeated ultrasound and CT scans, which made it possible to reliably visualize the torsion of the cystic formation. The final diagnosis was made intraoperatively. The clinical observation is illustrated by ultrasound and radiologic scans and intraoperative images. The publication is supplemented with a brief review of the literature.

Publisher

Central Research Institute of Radiation Diagnostics

Subject

General Medicine

Reference7 articles.

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3. Chen F., Liu J., Fan F., Xu W., Lv Z. Primary omental torsion in children: single-center experience of 17 cases. Abdom. Radiol. (NY). 2022;47(4):1291-1297.

4. Chong H. C., Khalid H. M., Hanifah N. A. M., Jaffrey V., Thiyagaraja N., Hayati F. Infected omental cyst complicated with subacute intestinal obstruction and ileal erosion in a 2-year-old boy: a case report. Pan Afr. Med. J. 2021;22(40):257.

5. Mahmoudi A., Rami M., Khattala K., El Madi A., Bouabdallah Y. Huge omental lymphangioma with haemorrhage in children: case report. Pan. Afr. Med. J. 2020;35(20).

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