DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20150270

Cystic lymphangioma of small bowel mesentery: a rare case report

Jignesh Rathod, Hardik Yadav, Deeksha Arora

Abstract


Cystic lymphangiomas are rare neoplasms. A 49 year old male patient presented with complaints of lump in abdomen weight loss since 1 month. On examination, patient had a diffuse visible lump above the umbilicus. Ultrasonography of abdomen and pelvis showed a well-defined smoothly marginated anechoic to hyperechoic lesion in midline and left side of abdomen. CECT of abdomen and pelvis was suggestive of pedunculated small bowel leiomyoma desmoid tumor. Exploratory laparotomy with resection of affected loop of jejunum and the supplying mesentery containing the tumor and resection and anastomosis of adjacent small bowel was done. Histologically, the tumor was diagnosed as mesenteric lymphangioma.

 


Keywords


Mesenteric lymphangioma

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References


Losanoff JE, Richman BW, El-Sherif A, Rider KD, Jones JW. Mesenteric cystic lymphangioma. Journal of the American College of Surgeons. 2003;196:598–603.

Wani I. Mesenteric lymphangioma in adult: a case series with a review of the literature. Digestive Dis Sci. 2009;54:2758–62.

Vanek VW, Phillips AK. Retroperitoneal, mesenteric, and omental cysts. Archives of Surgery. 1984;119:838–42.

Allen JG, Riall TS, Cameron JL, Askin FB, Hruban RH, Campbell KA. Abdominal lymphangioma in adults. Journal of Gastrointestinal Surgery. 2006;10:746–51.

de Perrot M, Rostan O, Morel P, Le Coultre C. Abdominal lymphangioma in adults and children. British J Surg. 1998;85:395–7.

Alqahtani A, Nguyen LT, Flageole H, Shaw H, Laberge KJM. 25 years’ experience with lymphangiomas in children. J Pediat Surg. 1999;34:1164–8.

Losanoff JE, Kjossev KT. Mesenteric cystic lymphangioma: unusual cause of intra-abdominal catastrophe in an adult. International Journal of Clinical Practice. 2005;59:986–7.

Chen CW, Hsu SD, Lin CH, Cheng MF, Yu JC. Cystic lymphangioma of the jejunal mesentery in an adult: a case report. World J Gastroenterol. 2005;11:5084–6.

Tsukada H, Takaori K, Ishigro S, Tsuda T, Ota S, Yamamoto T. Giant cystic lymphangioma of the small bowel mesentery: report of a case. Surg Today. 2002;32:734–7.

Yoo E, Kim MJ, Kim KW, Chung JJ, Kim SH, Choi JY. A case of mesenteric cystic lymphangioma: fat saturation and chemical shift MR imaging. Journal of Magnetic Resonance Imaging. 2006;23:77–80.

Pui MH, Li ZP, Chen W, Chen JH. Lymphangioma imaging diagnosis. Australasian Radiology. 1997;41:324–8.

Jang JH, Lee SL, Ku YM, An CH, Chang ED. Small bowel volvulus induced by mesenteric lymphangioma in an adult: a case report. Korean J Radiol. 2009;10:319–22.

Chung JC, Song OP. Cystic lymphangioma of the jejunal mesentery presenting with acute abdomen in an adult. Canadian J Surg. 2009;52:E286–8.