Giant mesenteric cystic lymphangioma: a rare cause of intra-abdominal catastrophe

Authors

  • Gopalakrishnan Gunasekaran Department of Surgical Gastroenterology, JIPMER, Puducherry, Puducherry, India
  • Debasis Naik Department of Surgery, VIMSAR, Burla, Odisha, India
  • Sakthivel Chinnakkulam Kandhasamy Department of Surgery, JIPMER, Puducherry, Puducherry, India
  • Dhirendra Nath Soren Department of Surgery, VIMSAR, Burla, Odisha, India

DOI:

https://doi.org/10.18203/2349-2902.isj20195152

Keywords:

Cystic lymphangioma, Gut gangrene, Mesentery

Abstract

Lymphangiomas are uncommon benign tumours and occur mainly in children with the most common sites being head and neck followed by the axilla and mediastinum. Intra-abdominal lymphangiomas are rare. Clinical presentation is diverse ranging from incidentally discovered abdominal mass to symptoms of acute abdomen. Life threatening complications are more likely to develop in children. We here present a rare case of giant mesenteric cystic lymphangioma causing intra-abdominal catastrophe in an adult.

References

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

Rieker RJ, Quentmeier A, Weiss C, Kretzschmar U, Amann K, Mechtersheimer G, et al. Cystic lymphangioma of small bowel mesentery. Pathol Oncol Res. 2000;6:146-8.

Tsukada H, Takaori K, Ishiguro S, Tsuda T, Ota S, Yamamoto T. Gaint cystic lymphangioma of the small bowel mesentery: report of a case. Surg Today. 2002;32:34-7.

Klein MD. Traumatic rupture of an unsuspected Mesenteric cyst; an uncommon cause of an acute surgical abdomen following a minor fall. Ped Emergency Care. 1996;12:40.

Vlazakis SS, Gardikis S, Sanidas E, Vlachakis I, Charissis G. Rupture of mesenteric cyst after blunt abdominal trauma. Eur J Surg. 2000;166:262-4.

Losanoff JE, Kjossev KT. Mesenteric cystic lymphangioma: unusual cause of intra-abdominal catastrophe in an adult. Int J Clin Pract. 2005;59:986–7.

Stopinski J, Stephan S, Staib I. (Intra-abdominal cystic lymphangioma and mesenteric cysts as a cause of abdominal discomfort). Langenbecks Arch Chir. 1994;379:182–7.

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.

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.

Davidson AJ, Hartman DS: Lymphangioma of the retroperitoneum. CT and sonographic characteristics. Radiology. 1990;175:507-10.

Yoo E, Kim M-J, Kim KW, Chung J-J, Kim SH, Choi J-Y. A case of mesenteric lymphangioma: fat saturation and chemical shift on MR Imaging. J Magn Reson Imaging. 2005;23(1):77-80.

Wilting J, Papoutsi M, Christ B, Nicolaides KH, von Kaisenberg CS, Borges J, et al. The transcription factor prox1 ia a marker for lymphatic endothelial cellsin normal and diseased human tissue. FASEB J. 2002;16(10):1271-73.

Enzinger FM, Weiss SW. Tumors of the lymph vessels. In: Enzinger FM, Weiss SW, eds. Soft Tissue Tumors St. Louis, MO: Mosby Publishers. 1994: 679–700.

Losanoff JE, Richman BW, El-Sherif A, Rider KD, Jones JW. Mesenteric cystic lymphangioma. J Am Coll Surg. 2003;196:598–603.

Bonhomme A, Broeders A, Oyen RH, Stas M, De Wever I, Baert AL. Cystic lymphangioma of the retroperitoneum. Clin Radiol. 2001;56:156–8.

Melcher GA, Rþedi T, Allemann J, Wüst W. Cystic lymphangioma of the mesenterial root as a rare cause of acute abdomen. Chirurg. 1995;66:229–31.

Downloads

Published

2019-10-24

Issue

Section

Case Reports