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Case Reports
. 2017 Jun;11(6):PD01-PD02.
doi: 10.7860/JCDR/2017/22703.9962. Epub 2017 Jun 1.

Small Intestinal Lymphangioma Presenting as an Acute Abdomen with Relevant Review of Literature

Basant Kumar  1 , Ankur Bhatnagar  2 , Vijai Datta Upadhyaya  3 , Ajay Narayan Gangopadhyay  4
Affiliations
Case Reports

Small Intestinal Lymphangioma Presenting as an Acute Abdomen with Relevant Review of Literature

Basant Kumar et al. J Clin Diagn Res. 2017 Jun.

Abstract

Cystic lymphangioma of small bowel mesentery is rare with clinical features ranging from an asymptomatic abdominal lump to acute intestinal obstruction. We discuss two cases of lymphangioma of small bowel mesentery who presented to us as acute intestinal obstruction. In the first case exploratory laparotomy revealed a large multicystic lesion arising from small bowel mesentery just distal to the duodenojejunal junction having multiple small cysts filled with milky white fluid. The involved region of the bowel was excised. The second case had a large multicystic lesion involving the mesentery of proximal jejunum, dudenojejunal junction, encasing the entire superior mesenteric vessels. For this patient, debulking was done.

Keywords: Abdominal obstruction; Laparotomy; Multicystic lesion.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
Resected specimen showing multiple lymphangioma involving the small intestine and its mesentery.
[Table/Fig-2]:
[Table/Fig-2]:
X-ray abdomen erect: showing gasless abdomen.
[Table/Fig-3]:
[Table/Fig-3]:
CT Scan: showing multiple cystic lesion involving small bowel and its mesentery.
[Table/Fig-4]:
[Table/Fig-4]:
CT scan after one year showing very small residual lesion of lymphangioma.
See this image and copyright information in PMC

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