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Scientific paper - Case study
Retroperitonealni limfangiom kao uzrok akutnog abdomena – prikaz slučaja
Medicina Fluminensis : Medicina Fluminensis, 54 (2018), 4; 423-428. https://doi.org/10.21860/medflum2018_207362
Gavrić, Katja; Balić, Mirko; Nikolić, Harry; Matušan Ilijaš, Koviljka; Roganović, Jelena

Institutional repository: Repository of the University of Rijeka, Faculty of Medicine

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Gavrić, K., Balić, M., Nikolić, H., Matušan Ilijaš, K. & Roganović, J. (2018). Retroperitonealni limfangiom kao uzrok akutnog abdomena – prikaz slučaja. Medicina Fluminensis : Medicina Fluminensis, 54. (4), 423-428. doi: 10.21860/medflum2018_207362

Gavrić, Katja, et al. "Retroperitonealni limfangiom kao uzrok akutnog abdomena – prikaz slučaja." Medicina Fluminensis : Medicina Fluminensis, vol. 54, no. 4, 2018, pp. 423-428. https://doi.org/10.21860/medflum2018_207362

Gavrić, Katja, Mirko Balić, Harry Nikolić, Koviljka Matušan Ilijaš and Jelena Roganović. "Retroperitonealni limfangiom kao uzrok akutnog abdomena – prikaz slučaja." Medicina Fluminensis : Medicina Fluminensis 54, no. 4 (2018): 423-428. https://doi.org/10.21860/medflum2018_207362

Gavrić, K., et al. (2018) 'Retroperitonealni limfangiom kao uzrok akutnog abdomena – prikaz slučaja', Medicina Fluminensis : Medicina Fluminensis, 54(4), pp. 423-428. doi: 10.21860/medflum2018_207362

Gavrić K, Balić M, Nikolić H, Matušan Ilijaš K, Roganović J. Retroperitonealni limfangiom kao uzrok akutnog abdomena – prikaz slučaja. Medicina Fluminensis : Medicina Fluminensis [Internet]. 2018 December 01 [cited 2024 November 09];54(4):423-428. doi: 10.21860/medflum2018_207362

K. Gavrić, M. Balić, H. Nikolić, K. Matušan Ilijaš and J. Roganović, "Retroperitonealni limfangiom kao uzrok akutnog abdomena – prikaz slučaja", Medicina Fluminensis : Medicina Fluminensis, vol. 54, no. 4, pp. 423-428, December 2018. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:234611. [Accessed: 09 November 2024]

Metadata
Title (croatian)Retroperitonealni limfangiom kao uzrok akutnog abdomena – prikaz slučaja
Title (english)Retroperitoneal lymphangioma presenting as acute abdomen: A case report
AuthorKatja Gavrić
AuthorMirko Balić
AuthorHarry Nikolić
AuthorKoviljka Matušan Ilijaš
AuthorJelena Roganović
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of General Pathology and Pathological Anatomy)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Pediatrics
Abstract (croatian)
Cilj: Prikazati pedijatrijskog bolesnika s retroperitonealnim limfangiomom koji se prezentirao kao akutni abdomen. Prikaz slučaja: Dvanaestogodišnji dječak hospitaliziran je zbog akutnih grčevitih bolova u trbuhu praćenih povraćanjem i povišenim laboratorijskim upalnim parametrima. Zbog sumnje na akutni apendicitis učinjena je hitna klasična apendektomija. Drugog postoperativnog dana nastupilo je pogoršanje općeg stanja s febrilitetom i difuznim abdominalnim bolovima. Slikovnim pretragama abdomena prikazana je pseudocistična septirana tvorba koja je sugerirala limfangiom. Po provedenoj energičnoj potpornoj terapiji i poboljšanju općeg stanja učinjena je kompletna kirurška resekcija tumora. Postoperativni tijek protekao je uredno. Patohistološki nalaz potvrdio je dijagnozu limfangioma. Šest mjeseci nakon operativnog zahvata dječak je bez tegoba s urednim kliničkim i ultrazvučnim nalazom. Zaključak: Akutni abdomen je hitno kirurško stanje vrlo različite etiologije, koje posebice u djece zahtjeva pažljiv pristup. U diferencijalnoj dijagnozi akutnog abdomena treba razmišljati i o limfangiomu. Detaljna anamneza, pažljiv klinički pregled, radiološka i laboratorijska obrada značajno utječu na izbor terapije i prognozu bolesti.
Abstract (english)
Aim: To report a case of a pediatric patient with acute abdomen due to a retroperitoneal lymphangioma. Case report: A 12-year old boy was admitted to the hospital due to acute spasmodic abdominal pain, accompanied by vomiting and raised inflammatory markers. A classical appendectomy was performed due to clinical suspicion of appendicitis. On the second post-operative day, the general condition deteriorated, with fever and diffuse abdominal pain. Abdominal imaging studies demonstrated a pseudocystic septic formation suggestive of lymphangioma. Following extensive supportive therapy and improvement of general condition, the tumor was completely surgically resected. The postoperative course was uneventful. Histopathological examination confirmed the diagnosis of lymphangioma. Six months after the surgery, the boy is doing well and his clinical and ultrasound follow-up examinations are normal. Conclusion: Acute abdomen is a surgical emergency with many possible causes, which requires a careful approach regarding the specifics of the pediatric population. Whilst creating a differential diagnosis, lymphangioma should be considered. Detailed history, careful physical examination and radiological investigations are of great impact on the choice of treatment and the prognosis of the disease.
Keywords (croatian)
Keywords (english)
Languagecroatian
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review - domestic
Publication versionPublished version
Journal titleMedicina Fluminensis : Medicina Fluminensis
Numberingvol. 54, no. 4, pp. 423-428
p-ISSN1847-6864
e-ISSN1848-1868
DOIhttps://doi.org/10.21860/medflum2018_207362
URN:NBNurn:nbn:hr:184:234611
Publication2018-12-01
Document URLhttps://hrcak.srce.hr/207362
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2018-12-03 16:13:43