Abstract

SUAREZ-TORRES, Ismael; REYNA-VILLASMIL, Eduardo  and  TORRES-CEPEDA, Duly. Mesenteric cystic lymphangioma of small bowel mimicking ovarian tumor. CES Med. [online]. 2017, vol.31, n.2, pp.215-221. ISSN 0120-8705.  https://doi.org/10.21615/cesmedicina.31.2.11.

Cystic lymphangioma, characterized by proliferation of lymphatic spaces, is an infrequent lesion in adult patients. Less than 1% of all lymphangiomas correspond to small-bowel lymphangiomas. Clinical presentation can be diverse ranging from incidental abdominal cysts to an acute abdomen. We report a case of small bowel mesenteric cystic lymphangioma in a 30 years-old woman who presented with abdominal pain and vomiting. The abdominal ultrasound and computed tomography scan showed a cystic multiseptated mass at the right lower quadrant mimicking an ovarian tumor. Laparotomy found a lobulated, brown, cystic tumor from the small bowel mesentery. The patient underwent resection of the tumor and the adjacent small intestine with reconstruction of the intestinal transit. The histological study confirmed diagnosis of mesenteric cystic lymphangioma.

Keywords : Lymphangioma, Mesenteric cystic lymphangioma, Abdominopelvic mass; Small bowel.

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