Das skrotale Lymphangiom - eine seltene Ursache des akuten Skrotums im Kindesalter

Häcker, Axel; Hatzinger, Martin; Grobholz, Rainer; Alken, P.; Hoang-Böhm, J.

doi:10.1055/s-2005-915616

Cited by 8 publications

(1 citation statement)

References 7 publications

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“…Thirteen patients underwent surgical resection under direct vision, and one received OK-432 sclerotherapy because the lesion could not be completely removed. None of the children relapsed during the follow-up periods [2][3][4][5][6][7][8][9][10][11][12][13].…”

Section: Review Of the Literaturementioning

confidence: 99%

Misdiagnosis of scrotal and retroperitoneal lymphangioma in children

Wu,

Mo,

Tan

et al. 2023

BMC Pediatr

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Background Scrotal and retroperitoneal lymphangioma (SRL) in children is relatively rare and its clinical symptoms are usually difficult to distinguish from other conditions such as hydrocele and incarcerated inguinal oblique hernia. This study aimed to explore the clinical diagnosis and treatment of abdominal scrotal lymphangioma in children, and thus, to increase our understandings of this disease in clinical practice. Method This study enrolled nine boys, aged 1–10, who were admitted to Shanghai Children’s Hospital from January 2019 to December 2020 and who were finally confirmed with lymphangioma in the inguinal area. The clinical manifestations, diagnosis, and treatment of these children were analyzed retrospectively. The length of diagnostic process ranged from 3 weeks to 20 months. We also reviewed other cases of initially misdiagnosed cases of SRL in English publications from 2000 to 2022. Results The nine cases were misdiagnosed as hydrocele, hematoma, or inguinal hernia. Three patients received intracystic injection of bleomycin, three underwent laparoscopic mass resection, and three underwent resection of the inguinal lymphangioma under direct vision. Postoperative pathological analysis of the surgical specimens confirmed the diagnosis of benign cystic lesions and lymphangioma. Meanwhile, among the 14 cases of SRL in literature review, eight were misdiagnosed. Six were initially diagnosed as hydrocele, one as inguinal oblique hernia, and one as testicular tumor, all of which underwent ultrasonography scans. All cases were confirmed as lymphangioma after pathological examination. Conclusion The non-specific clinical manifestations may contribute to the misdiagnosis of scrotal masses in children. A detailed and accurate medical history, careful physical examination, and imaging findings are important factors contributing to the preoperative differential diagnosis of scrotal lumps in children, but the final diagnosis is based on pathological examination.

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