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Case Reports
. 2010 Jan;1(1):7.
doi: 10.21699/ajcr.v1i1.7. Epub 2010 Aug 14.

A giant lymphatic cyst of the transverse colon mesentery

Tayyaba Batool  1 , Soofia Ahmed, Jamshed Akhtar
Affiliations
Case Reports

A giant lymphatic cyst of the transverse colon mesentery

Tayyaba Batool et al. APSP J Case Rep. 2010 Jan.

Abstract

Mesenteric cysts are not uncommon in pediatric age group but giant lymphatic cysts of mesentery are reported infrequently. This is a report of six years old female who had vague abdominal pain with distension for two years. Investigations revealed a large cystic mass in abdomen. On exploration a giant lymphatic cyst in the mesentery of transverse colon found. More than 1500 ml of milky fluid was drained. The cyst was unilocular and appeared to be the collection of lymph (chyle) between two leaves of the mesentery of transverse colon. It is postulated that trauma to or malformation of lymphatics at the root of mesentery might have lead to this pathology.

Keywords: Abdominal mass; Lymphatic cyst; Lymphatic malformation; Mesenteric cyst.

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Figures

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Figure 1: CT scan, saggital section showing huge unilocular cystic abdominal mass.
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Figure 2: CT scan showing position of the cyst just beneath the anterior abdominal wall with compression of the adjacent viscera.
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Figure 3: Operative view of chylous cyst.
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Figure 4: Stretched out leaves of mesentery following drainage of fluid.
See this image and copyright information in PMC

References

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