Management of severe symptomatic abdominal lymphatic malformation complicated by abscess formation, protein-losing gastroenteropathy, and bleeding

Annals of Pediatric Surgery

Table 1 Clinical characteristics, presentations, and preoperative complications in ALM patients

Patient No	Age (years)	Sex	Symptoms	Site	Size (cm)	Complications	WBC (/mm³)	CRP (mg/dL)	Hb (g/dL)	TP/Alb (g/dL)
1	15	M	Syncope, melena, abdominal mass	Small bowel mesentery	19	Cystic bleeding	3400	0.24	6.7	6.7/‐
2	6	F	RLQ pain, mass	Retroperitoneum	NA	Cystic bleeding	16,800	NA	NA	NA
3	2	M	Abdominal pain, abdominal distention	Retroperitoneum	NA	Cystic bleeding	6500	NA	NA	NA
4	6	M	Fever, abdominal pain	Small bowel mesentery	NA	Cystic bleeding	5100	1.25	11.7	6.6/3.8
5	6	M	Abdominal pain	Retroperitoneum, uncinate process of pancreas	7.5	Cystic bleeding	NA	17.2	3.7	7.6/4.8
6	2	M	Fever, abdominal pain	Transverse colon mesentry	15	Cystic bleeding	NA	22.8	10.9	6.9/3.2
7	19	F	Fever, abdominal pain, anasarca, tetany	Retroperitoneum	NA	PLGE	29,100	< 0.02	13.2	3.0/1.4
8	9	M	fever, abdominal pain	Retroperitoneum	11	abscess	17,800	42.2	10.9	6.7/-

PLGE, protein-losing gastroenteropathy; ALM, abdominal lymphatic malformation; RLQ, right lower quadrant; NA, not applicable
Table 1 shows the preoperative clinical and biochemical characteristics at the time of referral