Intraabdominal Cystic Lymphangiomas in Children: A Single Center Experience
Bibliographic record
Abstract
Congenital intraabdominal cystic lymphangiomas (ICLs) are rare disorders. Only a minority of cases present with acute illness, the majority of patients show unspecific abdominal symptoms, and due to the slow progression of ICL the diagnosis is usually made with delay. We report our single center experience concerning ICL covering a 3-year period from 2009 to 2011. During this time three patients with a mean age of 2.8 years were first seen because of unspecific abdominal symptoms, and were identified to have an ICL, originating from the ligamentum gastrocolicum (diameter 17 cm), gastrolienale (diameter 20 cm) and omentum majus (diameter 7 cm). The following report should emphasize the diagnostic difficulty associated with ICL presenting three patients in excellent condition, showing normal laboratory data despite a considerable persistent intraabdominal fluid accumulation. The persistence of “ ascites ” in parallel with the follow-up sonographies demonstrating cystic masses and internal septations led to the differential diagnosis of an ICL. To us, it seems to be important to bear in mind ICL as a relevant differential diagnosis in children with unspecific abdominal pain or non-specific ascites. This is to point out that especially the existence of septated intraabdominal fluid and cystic structures are strong signs leading to the diagnosis of an ICL. Due to this, the general use of ultrasonography (US) in children with unspecific abdominal symptoms should be recommended. Int J Clin Pediatr. 2014;3(3):89-93 doi: http://dx.doi.org/10.14740/ijcp163w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".