Mesenteric lymphangioma and choledochal cyst, a first reported case

Publication Date

2014

Document Type

Research

Abstract

Mesenteric cystic lymphangioma is a rare benign tumor consisting of a cluster of dilated lymphatic channels not often described in Literature. This is a case of an incidental finding of Mesenteric Lymphangioma in the abdomen in a 19-year old female diagnosed with choledochal cyst Type I. the linical course was a 1 year progression of epigastralgia described as colicky, constricting in character, not related to meal intake and abdominal fullness. She was in and out of the hospital for which she was treated as Acute Gastritis up until 6 months PTA where there was increased intensity and frequency of attacks. Preoperative studies including abdominal ultrasonography, CT scan and MRCP imaging was performed, revealing a choledochal cyst type I and was then scheduled for surgery. At Laparotomy, an incidental finding of several large cystic tumors of the Jejunal Mesentery, 40 cms form the Ligament of Treitz were found. Histopathologic examination revealed that the tumor is a cystic lymphangioma. Although lymphangiomas are rare, especially in the abdomen of adults, they may sometimes present as epigastric pain.

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