Linfangioma abdominal infectado por  Salmonella enteritidis

Sanchez, Jesus Perez; Solas, V. Pineda; Eseverri, I. Loverdos; Muga, M. Vilà de

doi:10.1157/13078493

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…Abdominal forms (mesenteric or retroperitoneal) of lymphatic malformations are the rarest abdominal masses that occur, and greater than 90% are either evident at birth or before the age of 2 years 3,4 . Infection of cystic lymphangiomas is a rare complication, and among the cases of infection described in the literature, Escherichia coli , Streptococcus pneumoniae , Staphylococcus aureus and Mycobacterium tuberculosis have been described as the causative agents 1,2 . No cases of Salmonella ‐infected intra‐abdominal lymphangiomas in an adult have been previously reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…3,4 Infection of cystic lymphangiomas is a rare complication, and among the cases of infection described in the literature, Escherichia coli, Streptococcus pneumoniae, Staphylococcus aureus and Mycobacterium tuberculosis have been described as the causative agents. 1,2 No cases of Salmonella-infected intra-abdominal lymphangiomas in an adult have been previously reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…There are only two other reported cases of Salmonella sp. infecting an abdominal lymphatic malformation, both of which have occurred in children under the age of 5 years 1,2 …”

mentioning

confidence: 99%

“…infecting an abdominal lymphatic malformation, both of which have occurred in children under the age of 5 years. 1,2 A 19-year-old British backpacker presented to the emergency department of our hospital with a 6-day history of bloody diarrhoea, vomiting, abdominal pain and generalized malaise. The patient had recently arrived in Australia having travelled through South-East Asia in preceding weeks.At first presentation, the patient appeared to be well hydrated, was afebrile and had a heart rate of 110 bpm.…”

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confidence: 99%

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Salmonella enteritidis‐infected intra‐abdominal lymphangioma

Chinai

Sun

Steffen

2010

ANZ Journal of Surgery

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We report, to the best of our knowledge, the first published case of a lymphangioma infected with Salmonella sp. in an adult. There are only two other reported cases of Salmonella sp. infecting an abdominal lymphatic malformation, both of which have occurred in children under the age of 5 years. 1,2 A 19-year-old British backpacker presented to the emergency department of our hospital with a 6-day history of bloody diarrhoea, vomiting, abdominal pain and generalized malaise. The patient had recently arrived in Australia having travelled through South-East Asia in preceding weeks.At first presentation, the patient appeared to be well hydrated, was afebrile and had a heart rate of 110 bpm. There was generalized abdominal tenderness on palpation but no palpable masses. He was admitted to the care of the general physicians for a period of observation and investigations.Multiple stool samples were sent for microscopy and culture, which ruled out Shigella, Salmonella, Yersinia, Campylobacter, rotavirus, adenovirus and norovirus. The patient was started empirically on doxycycline 100 mg b.i.d and metronidazole 400 mg t.d.s., and an infectious diseases consultation was sought. Given the history of travel and symptomology, serum samples were obtained to test for dengue, mycoplasma pneumonia, chlamydia, legionella, leptospirosis, Yersinia enterocolitica and Yersinia pseudotuberculosis, all of which were negative.The diarrhoea having completely resolved after 5 days and the patient feeling considerably better, he was discharged with a course of doxycycline and a follow-up appointment for the infectious diseases clinic.Four days later, the patient re-presented to the emergency department with acute cramping, central abdominal pain, fevers and reporting a palpable mass in the right abdomen. He was febrile to 37.7°C, but haemodynamically stable. A palpable mass was present in the right abdomen associated with guarding and generalized tenderness. Abdominal radiograph suggested an abdominal mass pushing the bowel loops away from the right side of the central abdomen (Fig. 1). The patient was commenced on intravenous metronidazole and timentin, and computed tomography scan obtained which revealed a large multi-loculated cystic mass (Fig. 2).An (emergency) laparotomy was performed where a grapefruitsized, multi-loculated cystic mass in the small bowel mesentery and adherent to the superior mesenteric vessels was excised. A segment of tissue was prepared for frozen section, and histology confirmed a lymphangioma.The entire mass was excised (Fig. 3) and sent for histology. Cystic fluid from within the multi-loculated mass and peritoneal ascitic fluid were sent for microscopy and culture. Fig. 2. Computed tomography scan of the abdomen showing a large septated cystic abdominal mass (arrow).Fig. 3. The completely excised mass. Images for surgeons

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…There are only two other reported cases of Salmonella sp. infecting an abdominal lymphatic malformation, both of which have occurred in children under the age of 5 years 1,2 …”

mentioning

confidence: 99%

mentioning

confidence: 99%

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Salmonella enteritidis‐infected intra‐abdominal lymphangioma

Chinai

Sun

Steffen

2010

ANZ Journal of Surgery

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“…A veces los síntomas se deben a la presencia de la masa quística abdominal que al crecer puede comprimir estructuras adyacentes y provocan con más frecuencia dolor abdominal, pero también náuseas o vómitos, incluso obstrucción intestinal, desplazamiento de riñones, uréteres o de la vascularización abdominal (1-3). Otras veces los síntomas se deben a las complicaciones como torsión del quiste o ruptura del mismo, con o sin infección secundaria y peritonitis (4,5).…”

Section: Discussionunclassified

Linfangioma quístico abdominal en una adolescente

Canosa

Fernández

Vigo

et al. 2008

Rev. esp. enferm. dig.

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Los linfangiomas son un grupo poco frecuente de tumores benignos de los vasos linfáticos. Se localizan en su mayoría en tejido subcutáneo de cabeza, cuello y axila. Son raros en adultos y la afectación abdominal es infrecuente. Caso clínico Presentamos un nuevo caso de linfangioma quístico abdominal en una adolescente. Se trata de una joven de 17 años sin antecedentes personales de interés que acude a urgencias por dolor lumbar cólico izquierdo irradiado a hipocondrio izquierdo de 2 días de evolución. No presentaba náuseas ni vómitos, ni fiebre, ni síndrome miccional, ni alteración del hábito intestinal. En la exploración física el abdomen es blando, depresible, doloroso a la palpación en hemiabdomen izquierdo, donde parece palparse un efecto masa, sin defensa ni datos de peritonismo. Los análisis de sangre y orina son normales. La ecografía abdominal demuestra una gran masa quística en hipocondrio izquierdo con septos en su interior sugestiva de linfangioma. Se realiza tomografía computerizada (TC) abdominal evidenciándose la una masa quística de 9-10 cm, que se extiende por epigastrio e hipocondrio izquierdo, englobando el estómago y en contacto con el bazo y el lóbulo hepático izquierdo, compatible con linfangioma quístico (Fig. 1).

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