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Video Presentation - 22
Laparoscopic Assisted Sclerotherapy for Retroperitoneal Lymphatic Malformation
Prakash Mandhan, Andrew Hobson, Martin Krauss, Spencer Beasley, Kiki Maoate, Jonathan Wells
Canterbury District Health Board, Christchurch, New Zealand, University of Otago, Christchurch, New Zealand
Introduction
Retroperitoneal Lymphatic Malformation (RLM) is a rare cause of abdominal pain in the paediatric population. We describe the management of this case and review the literature.
Case Presentation
A four-year-old boy presented to our institution with recurrent abdominal pain, initially diagnosed as constipation. A plain radiograph showed a paucity of gas in the central and lower abdomen and ultrasound confirmed the presence of a fluid-filled cystic structure. Magnetic resonance imaging further delineated this as most likely an RLM with evidence of recent intra-lesion haemorrhage. The diagnosis was confirmed laparoscopically and the RLM drained percutaneously and sclerosed with OK432. He is currently asymptomatic and under clinical follow-up.
Conclusion
RLM are rare and the diagnosis and management can be challenging. Several centres describe using image-guided drainage of RLM. This case highlights the use of laparoscopy to confirm the diagnosis and guide successfully drainage and sclerotherapy.
Laparoscopic Assisted Sclerotherapy for Retroperitoneal Lymphatic Malformation
Prakash Mandhan, Andrew Hobson, Martin Krauss, Spencer Beasley, Kiki Maoate, Jonathan Wells
Canterbury District Health Board, Christchurch, New Zealand, University of Otago, Christchurch, New Zealand
Introduction
Retroperitoneal Lymphatic Malformation (RLM) is a rare cause of abdominal pain in the paediatric population. We describe the management of this case and review the literature.
Case Presentation
A four-year-old boy presented to our institution with recurrent abdominal pain, initially diagnosed as constipation. A plain radiograph showed a paucity of gas in the central and lower abdomen and ultrasound confirmed the presence of a fluid-filled cystic structure. Magnetic resonance imaging further delineated this as most likely an RLM with evidence of recent intra-lesion haemorrhage. The diagnosis was confirmed laparoscopically and the RLM drained percutaneously and sclerosed with OK432. He is currently asymptomatic and under clinical follow-up.
Conclusion
RLM are rare and the diagnosis and management can be challenging. Several centres describe using image-guided drainage of RLM. This case highlights the use of laparoscopy to confirm the diagnosis and guide successfully drainage and sclerotherapy.