Scientific Letter
Mesenteric lymphatic malformation: A rare cause of an acute abdomen
Malformación linfática mesentérica: una causa poco frecuente de abdomen agudo
Read
6470
Timeswas read the article
1812
Total PDF
4658
Total HTML
Share statistics
array:25 [ "pii" => "S2341287919302212" "issn" => "23412879" "doi" => "10.1016/j.anpede.2019.01.020" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "2612" "copyright" => "Asociación Española de Pediatría" "copyrightAnyo" => "2019" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "An Pediatr (Barc). 2020;92:49-51" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 112 "formatos" => array:3 [ "EPUB" => 11 "HTML" => 77 "PDF" => 24 ] ] "Traduccion" => array:1 [ "es" => array:20 [ "pii" => "S169540331930075X" "issn" => "16954033" "doi" => "10.1016/j.anpedi.2019.01.023" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "2612" "copyright" => "Asociación Española de Pediatría" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "An Pediatr (Barc). 2020;92:49-51" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1585 "formatos" => array:3 [ "EPUB" => 80 "HTML" => 1107 "PDF" => 398 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta científica</span>" "titulo" => "Malformación linfática mesentérica: una causa poco frecuente de abdomen agudo" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "49" "paginaFinal" => "51" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Mesenteric lymphatic malformation: A rare cause of an acute abdomen" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2854 "Ancho" => 2508 "Tamanyo" => 492121 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A-C) Hallazgos radiológicos y quirúrgicos del caso A. A) Radiografía de abdomen en decúbito supino mostrando efecto masa en hemiabdomen izquierdo, desplazando las asas intestinales hacia el hemiabdomen derecho. No se observan signos de obstrucción intestinal. B) Ecografía abdominal de alta resolución en escala de grises mostrando gran lesión quística con contenido ecogénico en su interior, septos internos y otra lesión seudosólida en su interior. C) Imagen intraoperatoria donde se evidencia gran masa multiquística rosácea de gran tamaño (15<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>9<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>3<span class="elsevierStyleHsp" style=""></span>cm). D y E) Hallazgos radiológicos del caso B. Imágenes de RMN adquiridas de manera multifásica en planos coronal (D) y axial (E) tras administrar gadolinio intravenoso. Se identifica lesión redondeada de aproximadamente 5,3<span class="elsevierStyleHsp" style=""></span>cm en los 3 ejes situada en el hipocondrio izquierdo de contenido probablemente hemorrágico, delimitada por imagen de cápsula-seudocápsula hipointensa. No presenta organodependencia, signos de edema ni infiltración de las estructuras adyacentes.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Lara Merino Mateo, Rocío Morante Valverde, Jesús Vicente Redondo Sedano, María Isabel Benavent Gordo, Andrés Gómez Fraile" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Lara" "apellidos" => "Merino Mateo" ] 1 => array:2 [ "nombre" => "Rocío" "apellidos" => "Morante Valverde" ] 2 => array:2 [ "nombre" => "Jesús Vicente" "apellidos" => "Redondo Sedano" ] 3 => array:2 [ "nombre" => "María Isabel" "apellidos" => "Benavent Gordo" ] 4 => array:2 [ "nombre" => "Andrés" "apellidos" => "Gómez Fraile" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2341287919302212" "doi" => "10.1016/j.anpede.2019.01.020" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287919302212?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S169540331930075X?idApp=UINPBA00005H" "url" => "/16954033/0000009200000001/v2_202002041951/S169540331930075X/v2_202002041951/es/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S2341287919302170" "issn" => "23412879" "doi" => "10.1016/j.anpede.2019.10.003" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "2733" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "An Pediatr (Barc). 2020;92:52.e1-52.e10" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 276 "formatos" => array:3 [ "EPUB" => 27 "HTML" => 199 "PDF" => 50 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Spanish Association of Paediatrics</span>" "titulo" => "IMMUNISATION SCHEDULE OF THE SPANISH ASSOCIATION OF PAEDIATRICS: 2020 RECOMMENDATIONS" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "52.e1" "paginaFinal" => "52.e10" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Calendario de vacunaciones de la Asociación Española de Pediatría: recomendaciones 2020" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1481 "Ancho" => 2167 "Tamanyo" => 288955 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Routine immunisation schedule of the Spanish Association of Pediatrics 2020.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">(1) Hepatitis B vaccine (HB).</span>- 3 doses of hexavalent vaccine at ages 2, 4 and 11 months. Children of HBsAg-positive mothers or mothers of unknown serologic status will also be given one dose of monovalent HB vaccine at birth, in addition to 0.5mL of hepatitis B immune globulin (HBIG) if maternal HBsAg-positive status is confirmed. Infants vaccinated at birth will adhere to the routine schedule for year 1 of life, and thus will receive 4 doses of HB vaccine. Unvaccinated children and adolescents should be given 3 doses of monovalent vaccine on a 0-, 1- and 6-months schedule.</p> <p id="spar0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">(2) Diphtheria, tetanus and acellular pertussis vaccine (DTaP/Tdap).</span>- 5 doses: primary vaccination with 2 doses, at 2 and 4 months, of DTaP (hexavalent) vaccine; booster at 11 months (third dose) with DTaP (hexavalent) vaccine; at 6 years (fourth dose) with the standard load vaccine (DTaP-IPV), preferable to the low diphtheria and pertussis antigen load vaccine (Tdap-IPV), and at 12-14 years (fifth dose) with Tdap.</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">(3) Inactivated poliovirus vaccine (IPV).</span>- 4 doses: primary vaccination with 2 doses, at 2 and 4 months, and booster doses at 11 months (with hexavalent) and 6 years (with DTaP-IPV or Tdap-IPV).</p> <p id="spar0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">(4) <span class="elsevierStyleItalic">Haemophilus influenzae</span> type b conjugate vaccine (Hib).</span>- 3 doses: primary vaccination at 2 and 4 months and booster dose at 11 months (with hexavalent).</p> <p id="spar0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">(5) Pneumococcal conjugate vaccine (PCV).</span>- 3 doses: the first two at 2 and 4 months, with a booster dose starting at 11 months of age. The vaccine recommended in Spain by the CAV-AEP continues to be the PCV13.</p> <p id="spar0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">(6) Rotavirus vaccine (RV).</span>- 2 or 3 doses of rotavirus vaccine: at 2 and 3-4 months with the monovalent vaccine or at 2, 3 and 4 months or 2, 4 and 5-6 months with the pentavalent vaccine. It is very important to start vaccination between 6 and 12 weeks of life in order to minimise risks, and to complete it before 24 weeks for the monovalent vaccine or 32 weeks for the pentavalent vaccine. Doses must be given at least 4 weeks apart. Both doses may be given at the same time as any other vaccine.</p> <p id="spar0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">(7) Meningococcal B vaccine</span> (MenB).- 4CMenB. 3 doses: if vaccination starts at age 3 months, 2 doses at least 2 months apart with a booster starting at age 12 months and at least 6 months after the last dose in the primary vaccination series. If vaccination starts at 2 months, 4 doses are needed. Administration at least 15 days apart from other injectable inactivated vaccines is recommended up to age 18 months to minimise potential reactogenicity. The separation by a 15-day interval is not necessary for the varicella, MMR and rotavirus vaccines.</p> <p id="spar0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">(8) Meningococcal C conjugate vaccine (MenC) and meningococcal ACWY conjugate vaccine (MenACWY).</span>- 1 dose of conjugate MenC-TT at age 4 months. The CAV-AEP recommends 1 dose of the MenACWY conjugate vaccine at age 12-14 years, and a progressive catch-up vaccination schedule to be completed by age 18 years. If parents choose not to administer the MenACWY vaccine at age 12 months, the MenC-TT vaccine funded by the regional government must be administered instead. Administration of the MenACWY vaccine is still recommended in children and adolescents that are to live in countries where the vaccine is administered at this age (United States, Canada, Argentina, Austria, Greece, Netherlands, Italy, United Kingdom or Switzerland) and for children with risk factors for IMD: anatomic or functional asplenia, complement component deficiency, treatment with eculizumab, hematopoietic progenitor transplant recipients, HIV infection, prior episode of IMD caused by any serogroup, and contacts of an index case of IMD caused by serogroup A, W or Y in the context of an outbreak.</p> <p id="spar0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">(9) Measles, mumps and rubella vaccine (MMR).</span>- 2 doses of measles-mumps-rubella vaccine (MMR). The first at age 12 months and the second at age 3-4 years. The tetravalent MMRV vaccine may be administered for the second dose. Susceptible patients outside the specified ages will be vaccinated with 2 doses of MMR at least 1 month apart.</p> <p id="spar0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">(10) Varicella vaccine (Var).</span>- 2 doses: the first at age 15 months (age 12 months is also acceptable) and the second at age 3-4 years. The tetravalent vaccine (MMRV) may be used for the second dose. Susceptible patients outside the specified ages will be vaccinated with 2 doses of Var at least 1 month apart.</p> <p id="spar0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">(11) Human papillomavirus vaccine (HPV).</span>- Universal routine vaccination of all girls and boys, preferably at age 12 years, to prevent oncological diseases associated with this virus. All 3 HPV vaccines are authorised for use in male individuals, although there is little data on the use of the HPV2 vaccine in this sex. Administration of 2 doses at age 12 years. The vaccination schedule depends on the vaccine used: for the tetravalent vaccine, a 2-dose series (at 0 and 6 months) aged 9 to 13 years and a 3-dose series (at 0, 2 and 6 months) in those aged ≥14 years; for the 2-valent and 9-valent vaccines, a 2-dose series (at 0 and 6 months) aged 9 to 14 years and a 3-dose series (at 0, 1-2 [depending on the vaccine used] and 6 months) in those aged ≥ 15 years. The HPV vaccine may be administered at the same time as the MenC, MenACWY, hepatitis A and B and Tdap vaccines. There are no data on its coadministration with the varicella vaccine, although it should not cause any problems.</p>" ] ] ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "Francisco José Álvarez García, María José Cilleruelo Ortega, Javier Álvarez Aldeán, María Garcés-Sánchez, Nuria García Sánchez, Elisa Garrote Llanos, Ángel Hernández Merino, Antonio Iofrío de Arce, Manuel Merino Moína, Abián Montesdeoca Melián, María Luisa Navarro Gómez, Jesús Ruiz-Contreras" "autores" => array:13 [ 0 => array:2 [ "nombre" => "Francisco José Álvarez" "apellidos" => "García" ] 1 => array:2 [ "nombre" => "María José Cilleruelo" "apellidos" => "Ortega" ] 2 => array:2 [ "nombre" => "Javier Álvarez" "apellidos" => "Aldeán" ] 3 => array:2 [ "nombre" => "María" "apellidos" => "Garcés-Sánchez" ] 4 => array:2 [ "nombre" => "Nuria García" "apellidos" => "Sánchez" ] 5 => array:2 [ "nombre" => "Elisa Garrote" "apellidos" => "Llanos" ] 6 => array:2 [ "nombre" => "Ángel Hernández" "apellidos" => "Merino" ] 7 => array:2 [ "nombre" => "Antonio Iofrío de" "apellidos" => "Arce" ] 8 => array:2 [ "nombre" => "Manuel Merino" "apellidos" => "Moína" ] 9 => array:2 [ "nombre" => "Abián Montesdeoca" "apellidos" => "Melián" ] 10 => array:2 [ "nombre" => "María Luisa Navarro" "apellidos" => "Gómez" ] 11 => array:2 [ "nombre" => "Jesús" "apellidos" => "Ruiz-Contreras" ] 12 => array:1 [ "colaborador" => "en representación del Comité Asesor de Vacunas de la Asociación Española de Pediatría (CAV-AEP)" ] ] ] 1 => array:2 [ "autoresLista" => "" "autores" => array:1 [ 0 => array:1 [ "colaborador" => "COMPOSITION AND PROFESSIONAL AFFILIATION OF THE MEMBERS OF THE ADVISORY COMMITTEE ON VACCINES OF THE SPANISH ASSOCIATION OF PEDIATRICS" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1695403319303662" "doi" => "10.1016/j.anpedi.2019.10.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403319303662?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287919302170?idApp=UINPBA00005H" "url" => "/23412879/0000009200000001/v3_202002131610/S2341287919302170/v3_202002131610/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S2341287919302169" "issn" => "23412879" "doi" => "10.1016/j.anpede.2019.01.018" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "2605" "copyright" => "Asociación Española de Pediatría" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "An Pediatr (Barc). 2020;92:47-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 118 "formatos" => array:3 [ "EPUB" => 18 "HTML" => 73 "PDF" => 27 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Atrial fibrillation. A presentation of 2 cases" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "47" "paginaFinal" => "49" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fibrilación auricular. A propósito de 2 casos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1540 "Ancho" => 3167 "Tamanyo" => 728211 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Electrocardiogram of case 1.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Marc Roguera Sopena, Laura Sabidó Sánchez, Roger Villuendas Sabaté, Ricardo del Alcázar Muñoz" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Marc" "apellidos" => "Roguera Sopena" ] 1 => array:2 [ "nombre" => "Laura" "apellidos" => "Sabidó Sánchez" ] 2 => array:2 [ "nombre" => "Roger" "apellidos" => "Villuendas Sabaté" ] 3 => array:2 [ "nombre" => "Ricardo" "apellidos" => "del Alcázar Muñoz" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1695403319300682" "doi" => "10.1016/j.anpedi.2019.01.017" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403319300682?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287919302169?idApp=UINPBA00005H" "url" => "/23412879/0000009200000001/v3_202002131610/S2341287919302169/v3_202002131610/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Mesenteric lymphatic malformation: A rare cause of an acute abdomen" "tieneTextoCompleto" => true "saludo" => "Dear Editor:" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "49" "paginaFinal" => "51" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Lara Merino-Mateo, Rocío Morante Valverde, Jesús Vicente Redondo Sedano, María Isabel Benavent Gordo, Andrés Gómez Fraile" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Lara" "apellidos" => "Merino-Mateo" "email" => array:1 [ 0 => "lara.merino@salud.madrid.org" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Rocío" "apellidos" => "Morante Valverde" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Jesús Vicente" "apellidos" => "Redondo Sedano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "María Isabel" "apellidos" => "Benavent Gordo" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "Andrés" "apellidos" => "Gómez Fraile" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Pediátrica, Hospital Universitario 12 de Octubre, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Sección de Cirugía General de Cirugía Pediátrica, Hospital Universitario 12 de Octubre, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Urología de Cirugía Pediátrica, Hospital Universitario 12 de Octubre, Madrid, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Malformación linfática mesentérica: una causa poco frecuente de abdomen agudo" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2854 "Ancho" => 2508 "Tamanyo" => 492121 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A–C) Radiological and surgical findings in case A. (A) Abdominal X-ray with the patient in the supine position revealing a mass effect in the left abdomen with displacement of intestinal loops toward the right abdomen. No signs of bowel obstruction. (B) High-resolution grayscale ultrasound image revealing a cystic lesion with echogenic contents, internal septa and another pseudosolid lesion within. (C) Intraoperative image revealing a very large (15<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>9<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>3<span class="elsevierStyleHsp" style=""></span>cm) multicystic mass pink in color. (D and E) Radiological findings in case B. Multiphasic contrast-enhanced MRI images in the coronal (D) and axial (E) planes following intravenous administration of gadolinium. Round lesion measuring approximately 5.3<span class="elsevierStyleHsp" style=""></span>cm along all 3 axes located in the left hypochondrium with contents of probable hemorrhagic origin demarcated by a hypointense shape of a capsule or pseudocapsule. No evidence of organ dependence, edema or infiltration of adjacent structures.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Mesenteric lymphatic malformations, also known as lymphangiomas or cystic hygromas, are rare lesions originating from the proliferation of lymphatic vessels in the mesentery.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a> They mainly affect children aged less than 5 years and the most frequent location are the head, neck and axillary region, with intraabdominal locations accounting for less than 1–5% of cases.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">1–4</span></a> The clinical presentation varies depending on the size and location of the lesion from the absence of symptoms to acute abdomen (abdominal pain, abdominal distension, signs of peritoneal irritation).<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">4,5</span></a> Although recent articles have described management with percutaneous sclerotherapy,<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a> the first-line treatment continues to be complete surgical resection.<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">3,4</span></a> In this article, we describe the approach to the diagnosis and treatment of 2 cases of mesenteric lymphatic malformation managed in our unit.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case A</span><p id="par0010" class="elsevierStylePara elsevierViewall">Boy aged 3 years with an unremarkable previous history that sought care in the emergency department for diffuse abdominal pain of 3 days’ duration that exhibited guarding on palpation of the left side of the abdomen. He had been assessed 1 week prior due to a similar episode associated with fever and vomiting that had been managed with conservative treatment. The abdominal X-ray revealed a mass effect in the left side of the abdomen, and the abdominal ultrasound the presence of a large intraabdominal cystic lesion (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B). As his condition was deteriorating, the patient underwent an exploratory laparotomy that revealed extensive cystic tumor dependent on the omentum and anchored to the greater curvature of the stomach, which was completely resected (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). The findings of the gross and histological examination led to diagnosis of lymphangioma with haematic content.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Case B</span><p id="par0015" class="elsevierStylePara elsevierViewall">Girl aged 4 years assessed in the emergency department for colicky abdominal pain of 5 day's duration associated with vomiting. The patient had had similar episodes before that had resolved satisfactorily with enemas. She underwent an ultrasound examination that revealed a very larger multicystic lesion in the left hypochondrium. In this case, the patient was clinically stable, which allowed performance of a magnetic nuclear imaging (MRI) scan to complete the investigation and schedule surgery. The scan revealed a cystic lesion at the level of the mesentery in close contact with the tail of the pancreas (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D and E). The patient underwent laparoscopic-assisted resection of the lesion with bowel anastomosis. The pathology report described a benign cystic vascular lesion with immunohistochemical features compatible with lymphangioma (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>).</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">The lesions formerly known as lymphangiomas are currently classified under the term <span class="elsevierStyleItalic">lymphatic malformations</span> and described as cystic vascular anomalies rather than tumors of the lymphatic vessels. They may present in isolation or in the context of systemic disease.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">They are typically present at birth and grow with the child, becoming increasingly noticeable. This leads to diagnosis by age 5 years in 60–90% of cases, and diagnosis in adulthood is rare.<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">3,4</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Most cases (95%) involve the lymphatic vessels in the head, neck or axillary region, while abdominal involvement (in the mesenteric or retroperitoneal regions) is rare.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">1–6</span></a> Nevertheless, given the heterogeneity in the terminology used historically to describe them (lymphatic malformation, lymphangioma, cystic hygroma, etc.) and the fact that it may affect both the pediatric and the adult populations, it is very likely that its incidence is somewhat underestimated.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">The most widely accepted theory on the etiology of these malformations is the “blind sac” hypothesis, according to which these are congenital lesions resulting from sequestrations of lymphatic tissue that do not communicate with the lymphatic system during embryonic development, leading to dilatation of the vessels and formation of a cystic mass as the lymph accumulates.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">4</span></a> However, different authors of articles in the literature have proposed an association with specific factors such as radiation exposure, abdominal trauma, surgery or inflammation, among others.<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">3,4</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Most identified cases are painless masses growing in proportion to the child, but in some instances these malformations can cause complications such as infection, rupture, bowel obstruction, volvulus or spontaneous bleeding,<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">2,6</span></a> making it a surgical emergency, as occurred in case A presented here. The latter cases typically present as acute abdomen, and the most frequent symptom is abdominal pain.</p><p id="par0045" class="elsevierStylePara elsevierViewall">Ultrasonography is the gold standard of imaging for the initial evaluation and can be supplemented with computed tomography or MRI for a more thorough definition of the lesion if the condition of the patient allows it. In many cases, the definitive diagnosis is based on the histological findings.<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">4,6</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">Surgical treatment involves the complete resection of the lesion and is associated with favorable long-term outcomes and a low risk of malignant transformation or recurrence.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">1,3</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">Although lymphatic malformations manifest infrequently as acute abdomen, they should not be excluded from the differential diagnosis of this clinical picture, especially in case of detection of a palpable abdominal mass.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Case A" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Case B" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Merino-Mateo L, Morante Valverde R, Redondo Sedano JV, Benavent Gordo MI, Gómez Fraile A. Malformación linfática mesentérica: una causa poco frecuente de abdomen agudo. Arch Bronconeumol. 2020;92:49–51.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2854 "Ancho" => 2508 "Tamanyo" => 492121 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A–C) Radiological and surgical findings in case A. (A) Abdominal X-ray with the patient in the supine position revealing a mass effect in the left abdomen with displacement of intestinal loops toward the right abdomen. No signs of bowel obstruction. (B) High-resolution grayscale ultrasound image revealing a cystic lesion with echogenic contents, internal septa and another pseudosolid lesion within. (C) Intraoperative image revealing a very large (15<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>9<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>3<span class="elsevierStyleHsp" style=""></span>cm) multicystic mass pink in color. (D and E) Radiological findings in case B. Multiphasic contrast-enhanced MRI images in the coronal (D) and axial (E) planes following intravenous administration of gadolinium. Round lesion measuring approximately 5.3<span class="elsevierStyleHsp" style=""></span>cm along all 3 axes located in the left hypochondrium with contents of probable hemorrhagic origin demarcated by a hypointense shape of a capsule or pseudocapsule. No evidence of organ dependence, edema or infiltration of adjacent structures.</p>" ] ] 1 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Case \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Age \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Sex \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Symptom \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Location \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Intervention \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Approach \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">A \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 years \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Male \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Abdominal pain \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Large curvature of stomach \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Urgent complete resection \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Laparotomy \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">B \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 years \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Female \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Abdominal pain \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Ilion \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Elective complete resection \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Laparoscopy \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2240079.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Basic characteristics of described patients.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0035" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical features of mesenteric lymphatic malformation in children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Kim" 1 => "H. Kim" 2 => "C. Lee" 3 => "H. Min" 4 => "S. Jung" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jpedsurg.2015.11.021" "Revista" => array:6 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "2016" "volumen" => "51" "paginaInicial" => "582" "paginaFinal" => "587" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27106580" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0040" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lymphangioma of the small bowel mesentery: a case report and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "W. Suthiwartnarueput" 1 => "S. Kiatipunsodsai" 2 => "A. Kwankua" 3 => "U. Chaumrattanakul" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3748/wjg.v18.i43.6328" "Revista" => array:6 [ "tituloSerie" => "World J Gastroenterol" "fecha" => "2012" "volumen" => "18" "paginaInicial" => "6328" "paginaFinal" => "6332" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23180956" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0045" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lymphangioma of the jejunal mesentery and jejunal polyps presenting as an acute abdomen in a teenager" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Jayasundara" 1 => "E. Perera" 2 => "M. Chandu de Silva" 3 => "A. Pathirana" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1308/rcsann.2017.0012" "Revista" => array:6 [ "tituloSerie" => "Ann R Coll Surg Engl" "fecha" => "2017" "volumen" => "99" "paginaInicial" => "e108" "paginaFinal" => "e109" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28252346" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0050" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Small intestinal lymphangioma presenting as an acute abdomen with relevant review of literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "B. Kumar" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Clin Diagn Res" "fecha" => "2017" "volumen" => "11" "paginaInicial" => "PD01" "paginaFinal" => "PD02" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0055" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Abdominal lymphangioma in children: report of three cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "K. Muramori" 1 => "Y. Zaizen" 2 => "S. Noguchi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00595-008-3854-z" "Revista" => array:6 [ "tituloSerie" => "Surg Today" "fecha" => "2009" "volumen" => "39" "paginaInicial" => "414" "paginaFinal" => "417" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19408079" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0060" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intraabdominal lymphatic malformations: pearls and pitfalls of diagnosis and differential diagnoses in pediatric patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. Francavilla" 1 => "C. White" 2 => "B. Oliveri" 3 => "E. Lee" 4 => "R. Restrepo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Roentgenol" "fecha" => "2017" "volumen" => "208" "paginaInicial" => "637" "paginaFinal" => "649" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23412879/0000009200000001/v3_202002131610/S2341287919302212/v3_202002131610/en/main.assets" "Apartado" => array:4 [ "identificador" => "38181" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Scientific letters" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23412879/0000009200000001/v3_202002131610/S2341287919302212/v3_202002131610/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287919302212?idApp=UINPBA00005H" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 15 | 8 | 23 |
| 2024 October | 108 | 50 | 158 |
| 2024 September | 93 | 38 | 131 |
| 2024 August | 109 | 64 | 173 |
| 2024 July | 121 | 20 | 141 |
| 2024 June | 90 | 26 | 116 |
| 2024 May | 75 | 44 | 119 |
| 2024 April | 52 | 27 | 79 |
| 2024 March | 62 | 21 | 83 |
| 2024 February | 62 | 25 | 87 |
| 2024 January | 77 | 27 | 104 |
| 2023 December | 98 | 28 | 126 |
| 2023 November | 106 | 42 | 148 |
| 2023 October | 87 | 23 | 110 |
| 2023 September | 92 | 23 | 115 |
| 2023 August | 61 | 16 | 77 |
| 2023 July | 78 | 29 | 107 |
| 2023 June | 46 | 23 | 69 |
| 2023 May | 89 | 29 | 118 |
| 2023 April | 61 | 16 | 77 |
| 2023 March | 69 | 26 | 95 |
| 2023 February | 72 | 16 | 88 |
| 2023 January | 70 | 17 | 87 |
| 2022 December | 98 | 31 | 129 |
| 2022 November | 82 | 26 | 108 |
| 2022 October | 92 | 43 | 135 |
| 2022 September | 98 | 32 | 130 |
| 2022 August | 104 | 41 | 145 |
| 2022 July | 104 | 54 | 158 |
| 2022 June | 96 | 33 | 129 |
| 2022 May | 91 | 47 | 138 |
| 2022 April | 82 | 39 | 121 |
| 2022 March | 97 | 49 | 146 |
| 2022 February | 78 | 21 | 99 |
| 2022 January | 126 | 32 | 158 |
| 2021 December | 85 | 43 | 128 |
| 2021 November | 82 | 42 | 124 |
| 2021 October | 94 | 65 | 159 |
| 2021 September | 97 | 73 | 170 |
| 2021 August | 99 | 51 | 150 |
| 2021 July | 60 | 29 | 89 |
| 2021 June | 75 | 31 | 106 |
| 2021 May | 77 | 46 | 123 |
| 2021 April | 169 | 78 | 247 |
| 2021 March | 116 | 29 | 145 |
| 2021 February | 68 | 26 | 94 |
| 2021 January | 83 | 22 | 105 |
| 2020 December | 65 | 26 | 91 |
| 2020 November | 45 | 14 | 59 |
| 2020 October | 45 | 6 | 51 |
| 2020 September | 59 | 28 | 87 |
| 2020 August | 56 | 21 | 77 |
| 2020 July | 62 | 11 | 73 |
| 2020 June | 63 | 11 | 74 |
| 2020 May | 49 | 18 | 67 |
| 2020 April | 34 | 5 | 39 |
| 2020 March | 36 | 13 | 49 |
| 2020 February | 40 | 20 | 60 |
| 2020 January | 29 | 6 | 35 |
| 2019 December | 29 | 12 | 41 |
Show all
