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SM ISO690:2012 CIOLAC, Valentina. Limfangiomul chistic mezenterial la copii. Caz clinic. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 629. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Background. Cystic lymphangioma - malformation of the lymphatic system, with cystic dilation of the primitive lymphatic sacs, due to lack of drainage in the venous system. 80–90% of cases are diagnosed in the first 2 years of life, 50–65% at once after birth, 3–5% of cases with localization in the mediastinum. Objective of the study. To establish the role of surgical treatment in mesenteric cystic lymphangiomas in children. Material and Methods. Patient F., aged 2 years hospitalized in the Pediatric Surgery Clinic of NSPC «Natalia Gheorghiu», PHI IMC for abdominal pain, nausea, lowgrade fever - 37.2 0C, flatulence, lack of stool. Suspected intestinal obstruction. Diagnostic methods: the chest and abdominal X-ray, abdominal ultrasound, abdominal CT. Performed surgical treatment, bacteriological and histopathological examination. Results. Thoracoabdomenal X-ray detected bilateral bronchopneumonia and abdominal mass. Abdominal ultrasound - intra-abdominal cystic mass (120 x 5.5 cm). Abdominal CT with contrast agent - massive intra-abdominal cystic mass without signs of aggression. The following surgery was performed: mesenteric cystic lymphangioma was detected and competely excised, mesenteric lymphotropic therapy was applied. Histopathological examination cystic lymphangioma, associated with local lymphocytic inflammation, venous ectasia and focal productive omentum inflammation. Bacteriological investigation without bacteriological growth. The general condition of the child with amelioration. Conclusion. The clinical case demonstrated the primordiality of surgery in mesenteric cystic lymphangiomas. The suspicion of intra-abdominal cystic mass requires hospitalization, complete investigation and laparotomy with complete excision of the lymphangioma. |
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Cuvinte-cheie computed tomography, mesenteric lymphangioma, tomografie computerizată, limfangiom mezenteric |
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<?xml version='1.0' encoding='utf-8'?> <resource xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' xmlns='http://datacite.org/schema/kernel-3' xsi:schemaLocation='http://datacite.org/schema/kernel-3 http://schema.datacite.org/meta/kernel-3/metadata.xsd'> <creators> <creator> <creatorName>Ciolac, V.</creatorName> <affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation> </creator> </creators> <titles> <title xml:lang='ro,en'>Limfangiomul chistic mezenterial la copii. Caz clinic</title> </titles> <publisher>Instrumentul Bibliometric National</publisher> <publicationYear>2020</publicationYear> <relatedIdentifier relatedIdentifierType='ISBN' relationType='IsPartOf'></relatedIdentifier> <subjects> <subject>computed tomography</subject> <subject>mesenteric lymphangioma</subject> <subject>tomografie computerizată</subject> <subject>limfangiom mezenteric</subject> </subjects> <dates> <date dateType='Issued'>2020</date> </dates> <resourceType resourceTypeGeneral='Text'>Conference Paper</resourceType> <descriptions> <description xml:lang='en' descriptionType='Abstract'><p>Background. Cystic lymphangioma - malformation of the lymphatic system, with cystic dilation of the primitive lymphatic sacs, due to lack of drainage in the venous system. 80–90% of cases are diagnosed in the first 2 years of life, 50–65% at once after birth, 3–5% of cases with localization in the mediastinum. Objective of the study. To establish the role of surgical treatment in mesenteric cystic lymphangiomas in children. Material and Methods. Patient F., aged 2 years hospitalized in the Pediatric Surgery Clinic of NSPC «Natalia Gheorghiu», PHI IMC for abdominal pain, nausea, lowgrade fever - 37.2 0C, flatulence, lack of stool. Suspected intestinal obstruction. Diagnostic methods: the chest and abdominal X-ray, abdominal ultrasound, abdominal CT. Performed surgical treatment, bacteriological and histopathological examination. Results. Thoracoabdomenal X-ray detected bilateral bronchopneumonia and abdominal mass. Abdominal ultrasound - intra-abdominal cystic mass (120 x 5.5 cm). Abdominal CT with contrast agent - massive intra-abdominal cystic mass without signs of aggression. The following surgery was performed: mesenteric cystic lymphangioma was detected and competely excised, mesenteric lymphotropic therapy was applied. Histopathological examination cystic lymphangioma, associated with local lymphocytic inflammation, venous ectasia and focal productive omentum inflammation. Bacteriological investigation without bacteriological growth. The general condition of the child with amelioration. Conclusion. The clinical case demonstrated the primordiality of surgery in mesenteric cystic lymphangiomas. The suspicion of intra-abdominal cystic mass requires hospitalization, complete investigation and laparotomy with complete excision of the lymphangioma.</p></description> <description xml:lang='ro' descriptionType='Abstract'><p>Introducere. Limfangiomul chistic – malformație a sistemului limfatic, cu dilatarea chistică a sacilor limfatici primitivi, în urma lipsei drenării lor în sistemul venos. 80– 90% dintre cazuri sunt diagnosticate în primii 2 ani de viaţă, 50–65% - imediat după naştere, 3–5% dintre cazuri sunt cu localizare în mediastin. Scopul lucrării. Stabilirea rolul tratamentului chirurgical în limfangioamele chistice mezenteriale la copii. Material și Metode. Pacientă F., cu vârsta de 2 ani, internată în Clinica de chirurgie pediatrică a CNȘP „Natalia Gheorghiu” cu dureri abdominale, greață, subfebrilitate – 37,2 0C, meteorism, lipsa scaunului. Suspecție: ocluzie intestinală. Metode de diagnostic: Rx. toracelui și a abdomenului, ecografie abdominală, CT abdominală. Efectuat tratament chirurgical, examen bacteriologic și histopatologic. Rezultate. Rx. toraco-abdominală a decelat bronhopneumonie bilaterală și formațiunea de volum intraabdominală. Ecografie abdominală – formațiune chistică intraabdominală (120 x 5,5 cm). CT abdominal cu substanța de contrast – formațiune chistică masivă intraabdominală, fără semne de agresivitate. S-a intervenit chirurgical prin laparotomie transrectală pe dreapta: depistat și excizat complet limfangiomul chistic mezenterial, aplicată terapie limfotropă mezenterică. Examen histopatologic – limfangiomul chistic în focar, asociat cu inflamație limfocitară, ectazii venoase, omentită focală productivă. Investigare bacteriologică fără creștere bacteriologică. Starea generală cu ameliorare. Concluzii. Cazul clinic a demonstrat primordialitatea intervenției chirurgicale în limfangioamele chistice mezenteriale. Suspecția unei formațiuni chistice în regiunea intraabdominală impune spitalizarea, investigarea complectă și laparotomie cu excizia completă a limfangiomului.</p></description> </descriptions> <formats> <format>application/pdf</format> </formats> </resource>