Cystic lymphangiomatous hamartoma masquerading as massive ascites.
We report a 4-year-old boy presenting with a tense massive ascites and large hydrocele. History and physical examination were unremarkable. Routine laboratory studies were normal. Abdominal ultrasonography revealed massive ascites. Contrast CT was suggestive of a large cyst covering the entire peritoneal cavity. At laparotomy, a large cystic tumor was found extending into the scrotum through the left inguinal ring. Histopathologic examination diagnosed the tumor as a cystic lymphangiomatous hemartoma. Although abdominal lymphangiomas are seen in children, but presenting as massive ascites with hydrocele is very rare.
Parakh
Ankit
A
Department of Pediatric, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India. ankitparakh102@rediffmail.com
Dubey
Anand Prakash
AP
Garg
Anju
A
Khurana
Neeta
N
Aggarwal
Satish Kumar
SK
D001201:Ascites / Q000175:diagnosis* / Q000601:surgery; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006222:Hamartoma / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D008202:Lymphangioma / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D008297:Male; D010534:Peritoneal Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D018570:Risk Assessment; D012720:Severity of Illness Index; D006848:Testicular Hydrocele / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler