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Table 2 Operative management of ALM patients

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

Patient No

Age, years

Site

Invasion of adjacent organs

Multi-step surgery

Treatment

Outcome/follow-up (years)

1

15

Small bowel mesentery

Jejunum, SMA/SMV encasement

-

Resection, including resection of jejunum

Alive ( 18)

2

6

Retroperitoneum

None

-

Resection of lymphangioma

Alive ( 22)

3

2

Retroperitoneum

None

-

Resection of lymphangioma

Alive ( 17)

4

6

Small bowel mesentery

Ileum

-

Resection, including resection of ileum

Alive ( 9)

5

6

Retroperitoneum, uncinate process of pancreas

Uncinate process of pancreas

-

Resection, including resection of uncinate process of pancreas

Alive ( 6)

6

2

Transverse colon mesentery

None

-

Resection of lymphangioma

Alive ( 6)

7

19

Retroperitoneum

Duodenum

 + 

Abscess drainage, sclerotherapy → partial resection → lymphatic duct ligation → Denver shunt

Alive ( 12)

8

9

Retroperitoneum

Ileocecum

 + 

Abscess drainage → resection, including resection of ileocecum

Alive ( 9)

  1. ALM, abdominal lymphatic malformation; SMA, superior mesenteric artery; SMV; superior mesenteric vein
  2. Table 2 shows the operative management of patients with ALM