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[Mesenteric cystic lymphangioma].

D Mennecier1, E Boucher, E Bey

  • 1Service de Pathologie Digestive, Hopital d'Instruction des Armées Begin, St-Mandé. omega@club-internet.fr

Presse Medicale (Paris, France : 1983)
|May 6, 1999
PubMed
Summary
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Benign mesenteric multicystic lymphangioma is a rare congenital malformation. This case highlights its presentation in an adult with alcoholic hepatitis, emphasizing diagnostic imaging and surgical cure.

Area of Science:

  • Gastroenterology
  • Abdominal Imaging
  • Surgical Pathology

Background:

  • Cystic lymphangioma is a rare congenital malformation, typically diagnosed in pediatric patients.
  • Intra-abdominal cystic formations comprise 7% of such lesions, with ileal localization being most common.

Observation:

  • A 46-year-old male presented with acute alcoholic hepatitis and decompensation.
  • Imaging revealed hepatomegaly and a terminal ileal tumor without obstruction or lymphadenopathy.
  • Pathology confirmed a benign mesenteric multicystic lymphangioma.

Findings:

  • Ileal cystic lymphangioma often presents with minimal clinical symptoms.
  • Ultrasonography and CT scans offer insights into organ relationships.
  • Magnetic resonance imaging (MRI) is crucial for precise anatomical assessment and detecting intracystic hemorrhage.

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Implications:

  • Accurate diagnosis, differentiating from benign multicystic mesothelioma, is vital.
  • Complete surgical excision is the curative treatment for mesenteric cystic lymphangioma.
  • This case underscores the importance of considering rare diagnoses in adult presentations.