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Mesenteric cystic lymphangioma.
Abdullatif A Al-Arfaj1, Hakam A Yaseen
1Division of Pediatric Surgery, King Faisal University, Dammam, Kingdom of Saudi Arabia.
Saudi Medical Journal
|October 28, 2003
Summary
Abdominal cystic lymphangiomas are rare congenital tumors often seen in children, presenting with vague symptoms that can mislead diagnosis. Early ultrasonography is crucial for identifying these lymphatic malformations and improving patient outcomes.
Area of Science:
- Pediatric Surgery
- Medical Imaging
- Congenital Abnormalities
Background:
- Abdominal cystic lymphangioma is a rare congenital tumor of lymphatic origin, typically affecting pediatric patients.
- These tumors often present with non-specific symptoms, leading to diagnostic challenges.
Observation:
- Two cases of mesenteric cystic lymphangioma are presented, one mimicking perforated appendicitis and the other recurrent gastritis.
- Complications such as infection and volvulus influenced the clinical presentation in these cases.
Findings:
- Ultrasonography and computed tomography are the preferred diagnostic imaging modalities for abdominal cystic lymphangioma.
- Surgical intervention, including upper jejunal resection, was employed in the management of these cases.
Implications:
- A high index of suspicion and liberal use of ultrasonography are vital for accurate diagnosis of unclear abdominal conditions.
- Timely diagnosis and appropriate management of cystic lymphangiomas can significantly reduce patient morbidity.