Sonographic evaluation of abdominal lymphangiomas in children.
Sonography provided an accurate diagnosis in 10 preoperative studies and correctly showed the extent of the lesions in two postoperative examinations in a group of 12 children with surgically proven intraabdominal lymphangiomas. These masses typically contained anechoic fluid in one or more contiguous cystic loculations bounded by or containing one or more 1- to 2-mm thick septa. Thicker septa occurred in several cases with inflammation and/or accumulations of fatty tissue. Chylous or creamy fluid displayed fine diffuse echoes, whereas hemorrhage resulted in coarse echoes and/or solid masses. In two patients unusual renal involvement mimicked polycystic kidney disease. Typical sonographic appearances of lymphangioma may be radically altered by hemorrhage, inflammation, and unusual sites of involvement.
Blumhagen
J D
JD
Department of Radiology, Children's Hospital and Medical Center, Seattle, WA 98105.
Wood
B J
BJ
Rosenbaum
D M
DM
D000008:Abdominal Neoplasms / Q000175:diagnosis* / Q000473:pathology; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008202:Lymphangioma / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D014463:Ultrasonography