Infected mesenteric cystic lymphangioma as a cause of pediatric acute abdomen

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.

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A CASE OF RETROPERITONEAL CYSTIC LYMPHANGIOMA PRESENTING WITH ACUTE ABDOMEN

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) ◽

10.3919/jjsa.59.3176 ◽

1998 ◽

Vol 59 (12) ◽

pp. 3176-3179 ◽

Cited By ~ 2

Author(s):

Eiji KOMATSU ◽

Naoki ISHIZUKA ◽

Hiroyasu HAMAYA ◽

Ken TAKASAKI ◽

Toshihide IMAIZUMI

Keyword(s):

Acute Abdomen ◽

Cystic Lymphangioma

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Cystic Lymphangioma of Retzius Space Manifested as Acute Abdomen

European Journal of Pediatric Surgery ◽

10.1055/s-2006-923999 ◽

2006 ◽

Vol 16 (2) ◽

pp. 120-122 ◽

Cited By ~ 5

Author(s):

T. Kosumi ◽

A. Kubota ◽

T. Yonekura ◽

K. Yamauchi

Keyword(s):

Acute Abdomen ◽

Cystic Lymphangioma

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A case of a giant cystic lymphangioma mimicking acute appendicitis

Annals of The Royal College of Surgeons of England ◽

10.1308/003588412x13171221499144 ◽

2012 ◽

Vol 94 (1) ◽

pp. e24-e25 ◽

Cited By ~ 2

Author(s):

A Eisawi ◽

M Otter ◽

M Asha ◽

A Al-Temimi

Keyword(s):

Acute Appendicitis ◽

Acute Abdomen ◽

Relevant Literature ◽

Cystic Lymphangioma ◽

Cystic Lymphangiomas ◽

Rare Tumours ◽

Wide Range

Cystic lymphangiomas are rare tumours that can mimic various causes of acute abdomen including appendicitis. They exhibit variations in two characteristics on presentation: they can arise from a wide range of organs including various intra-abdominal structures and they can have a wide variation in size on presentation. We report a case of a gigantic cystic lymphangioma presenting as an acute abdomen closely mimicking acute appendicitis and we conduct a review of the relevant literature.

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Epiploic Cystic Lymphangioma Rupture as a Result of Acute Abdomen in a 4-year-old Patient. Case Report

Revista Medicina Universitaria ◽

10.24875/rmu.m18000016 ◽

2019 ◽

Vol 20 (2) ◽

Author(s):

Roberto Pineda-Quiñonez ◽

Rubén A. Uvalle-Villagomez ◽

F. Palacios-Luna ◽

F. Montes-Tapia ◽

Jaime Rodriguez-Garcia ◽

...

Keyword(s):

Case Report ◽

Acute Abdomen ◽

Cystic Lymphangioma ◽

Patient Case

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Lymphangioma of the jejunal mesentery and jejunal polyps presenting as an acute abdomen in a teenager

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2017.0012 ◽

2017 ◽

Vol 99 (3) ◽

pp. e108-e109 ◽

Cited By ~ 2

Author(s):

JASB Jayasundara ◽

E Perera ◽

MV Chandu de Silva ◽

AA Pathirana

Keyword(s):

Small Bowel ◽

Acute Abdomen ◽

Rapid Onset ◽

Cystic Lymphangioma ◽

Emergency Laparotomy ◽

Small Bowel Mesentery ◽

Bowel Ischaemia ◽

Small Bowel Volvulus ◽

Segmental Bowel Resection ◽

Management Experience

Cystic lymphangioma of the small bowel mesentery is a rare clinical entity, especially after childhood. Medical literature reveals a limited number of such cases presenting as acute abdomen due to bowel obstruction, small bowel volvulus and bleeding into the tumour. We present the management experience of an 18-year-old woman who presented with rapid onset diffuse peritonism and raised inflammatory markers. Computed tomography showed a mass in the small bowel mesentery with suspicion of segmental bowel ischaemia. Emergency laparotomy revealed a mass in the mid-jejunal mesentery close to the bowel wall with no bowel ischaemia. The patient made an uncomplicated recovery after segmental bowel resection and end-to-end anastomosis. Histology confirmed the mass as a cystic lymphangioma involving the jejunal mesentery and two small jejunal polyps. Lymphangioma could be considered in the differential diagnosis of an acute abdomen in a young adult when the presentation is atypical.

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Giant cystic lymphangioma in childhood: a rare differential for the acute abdomen

BMJ Case Reports ◽

10.1136/bcr.04.2011.4105 ◽

2011 ◽

Vol 2011 (jul06 1) ◽

pp. bcr0420114105-bcr0420114105 ◽

Cited By ~ 6

Author(s):

S. Talukdar ◽

S. Alagaratnam ◽

A. Sinha ◽

C. C. Thorn ◽

C. Elton

Keyword(s):

Acute Abdomen ◽

Cystic Lymphangioma

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A Case of Retroperitoneal Cystic Lymphangioma Causing Acute Abdomen

Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons) ◽

10.4030/jjcs1979.25.5_803 ◽

2000 ◽

Vol 25 (5) ◽

pp. 803-807

Author(s):

Hideyuki ISHIDA ◽

Masayuki TATSUTA ◽

Hiroshi FURUKAWA ◽

Kazuhiko HASHIMOTO ◽

Hiroshi IMAMURA ◽

...

Keyword(s):

Acute Abdomen ◽

Cystic Lymphangioma

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Reporte de Caso Clínico: Linfangioma quístico de epiplón

Revista Médica del Hospital José Carrasco Arteaga ◽

10.14410/2021.13.1.cc.08 ◽

2021 ◽

Vol 13 (1) ◽

pp. 51-55

Author(s):

Galo Fabián García Ordóñez ◽

Andrea Priscila Guillermo Cornejo ◽

Luis Fernando García Ordóñez ◽

Danny Renán García Ordóñez ◽

Gerardo Mauricio Siavichay Romero

Keyword(s):

Acute Abdomen ◽

Exploratory Laparotomy ◽

Cystic Mass ◽

Cystic Lymphangioma ◽

Greater Omentum ◽

Cystic Tumor ◽

Free Fluid ◽

Low Grade ◽

Abdominal Masses

BACKGROUND: Mesenteric lymphangioma is a rare, benign congenital cystic tumor of the lym-phatic vessels, which occurs in less than 5% pf the cases at the abdomen. They appear most often during childhood. This tumor should be considered as a differential diagnosis of acute abdomen and other abdominal masses. CASE REPORT: A 6-year-old boy presented with abdominal pain and peritonism. He presented a low-grade fever, a positive rebound sign, as well as leukocytosis and neutrophilia. Ultrasono-graphy showed abundant free fluid in abdomen and pelvis. EVOLUTION: Exploratory laparotomy was performed, finding a cystic mass dependent on the greater omentum, this mass was resected. Histopathology was negative for malignancy and compatible with cystic lymphangioma, immunohistochemistry was positive for D2-40 marker. The patient evolved favorably without surgical complications and without evidence of recurrence up to one year of follow-up. CONCLUSION: Mesenteric cystic lymphangioma can present with symptoms of acute abdomen, it can also have a chronic evolution. Complete resection is the treatment of choice, currently minimally invasive procedures are performed with favorable results. Ultrasound is useful for long-term follow-up.

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