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Cystic lymphangiomatosis with severe intra-abdominal bleeding in a newborn: Case report
Journal article   Peer reviewed

Cystic lymphangiomatosis with severe intra-abdominal bleeding in a newborn: Case report

Didem Baskin, Adnan Narci, Nazan Okur, Meltem Ugras, Gulengul Nadirgil Koken, Ahmet Ali Tuncer, Cigdem Tokyol and Salih Cetinkursun
Journal of clinical ultrasound, Vol.41(4), pp.261-264
05/2013
DOI: 10.1002/jcu.21956
PMID: 22729896
url
https://doi.org/10.1002/jcu.21956View
Published (Version of record) Open Access

Abstract

We report the case of a newborn girl with intestinal cystic lymphangiomatosis who presented with abdominal distension and intra-abdominal bleeding following a prenatal ultrasound diagnosis of intestinal anomaly. Postnatal abdominal ultrasound revealed disseminated submucosal and intramural cystic dilatations of various sizes in the bowel and intestinal lymphangiomatosis was diagnosed. The presence of severe bleeding diathesis and widespread disease led to conservative treatment. The patient died on postnatal day 7 and postmortem examination confirmed cystic lymphangiomatosis. Detection of intestinal hyperechogenicity and/or dilatation in prenatal ultrasonography and the persistence of these findings during pregnancy are suggestive for pathologies such as meconium ileus, meconium peritonitis, and intestinal atresia. Although rare, intestinal lymphangiomatosis should be kept in mind in patients whose prenatal sonographic findings persist until birth. (c) 2012 Wiley Periodicals, Inc. J Clin Ultrasound, 2013
Acoustics Life Sciences & Biomedicine Radiology, Nuclear Medicine & Medical Imaging Science & Technology Technology

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