Rare location of mesenteric cystic lymphangioma in an infant

Sham, Minakshi; Kudrimoti, Jyoti K.

doi:10.4103/2249-4847.140406

Cited by 3 publications

(2 citation statements)

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“…These benign tumors have low incidence in the general population with intra-abdominal cystic lymphangiomas having an estimated incidence of<1/1,00,000 hospital admissions. 4,5 In the abdomen, lymphangiomas are commonly located in small bowel mesentery (66% of cases) followed by ascending and transverse colon mesentery (33% cases). Less than 1% of cases have been reported in the mesentery of descending colon, sigmoid or rectum.…”

Section: Discussionmentioning

confidence: 99%

Cystic lymphangioma of the jejunal mesentery in a young adult: a rare case report

2020

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Lymphangioma is an uncommon congenital malformation of the lymphatic system that manifest as a benign tumor. They are most commonly seen in children and rarely in adults. Lymphangiomas in the peritoneal cavity are extremely rare in adults, comprising of less than 1% of all lymphangiomas. We report a case of 18-year-old healthy female who was diagnosed with cystic mesenteric lymphangioma of the small intestine on CT scan as a part of her routine health check-up. CT scan reported a large well-defined cystic mass in mesentery of the small intestine filled with a hyper dense fluid. The lesion had thin capsule and internal septa. Radiological diagnosis was confirmed intra-operatively on laparoscopy. The patient underwent laparotomy with resection of the cyst and the involved jejunum segment followed by end to end anastomosis. The specimen was sent for histo-pathological examination and the findings were consistent with the diagnosis of cystic lymphangioma of the jejunal mesentery. Cystic mesenteric lymphangiomas are rare entities in a clinical setting that can be easily missed on clinical examination or may present as asymptomatic disease. CT scan is the gold standard investigation for diagnosis of mesenteric lymphangiomas. The preferred surgical approach depends on the location of the lesion, the clinical features and the spread of the lesion to surrounding structures.

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Section: Discussionmentioning

confidence: 99%

Cystic lymphangioma of the jejunal mesentery in a young adult: a rare case report

2020

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“…[3,5,7] The literature has similar reported cases with variable presenting symptoms, imaging studies, and definitive diagnoses [Table 1]. Cardella et al [5] Prehal and Hagerb [7] Prehal and Hagerb [7] Sham et al [9] Mabrouk et al […”

Section: Discussionmentioning

confidence: 99%

Ileal volvulus secondary to cystic lymphangioma: A rare case report with a literature review

2019

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Lymphangioma is a benign malformation of the lymphatic system. It usually affects the neck, head, and rarely, the abdomen. Volvulus is a serious condition, which occurs as a result of bowel twisting around itself or around the mesentery leading to severe consequences such as obstruction. The most common cause of volvulus in children is malrotation. We report a rare case of a 2-year-old boy who was brought by his parents to the emergency room with the complaint of constipation for 5 days and vomiting for the last 4 days. Examination and plain abdominal X-ray suggested intestinal obstruction. Furthermore, ultrasonography indicated the presence of a cyst and dilatation of the bowel. On exploratory laparotomy, an ileal volvulus caused by cystic lymphangioma developed on the mesenteric wall and associated with ileal and jejunal dilatation was observed. The diseased segments were resected in addition to 5cm before and after the cystic lymphangioma to prevent recurrence.

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