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Bowel perforation following percutaneous sclerotherapy of an intra-abdominal lymphatic malformation

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Abstract

Mesenteric lymphatic malformations result from abnormal proliferation of disorganized mesenteric lymphatic channels. Sclerotherapy is often preferred over surgery as it is less invasive and has lower post-procedure morbidity. Sclerotherapy has been described as durable and effective with a low complication rate. We describe a serious complication from sclerotherapy of a lymphatic malformation extending from the mesentery through the bowel wall, highlighting the spectrum of this pathology and the need for multidisciplinary management of complex cases.

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Acknowledgments

The authors thank Dr. Portia A. Krieger, MD (Department of Pathology and Laboratory Medicine, The Children’s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania), for the pathological specimen details.

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Correspondence to Rachelle E. Durand.

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Durand, R.E., Heye, P., Cahill, A.M. et al. Bowel perforation following percutaneous sclerotherapy of an intra-abdominal lymphatic malformation. Pediatr Radiol 52, 1592–1595 (2022). https://doi.org/10.1007/s00247-022-05347-1

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  • DOI: https://doi.org/10.1007/s00247-022-05347-1

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