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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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Pag. 629-629 | ||||||
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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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