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Volvulus of the jejunum on cystic lymphangioma: About a clinical case

Yacaria Coulibaly1, Soumaila Keita2, Aliou Doumbia1

  • 1Department of Surgery at the Teaching Hospital Gabriel Touré, Mali, Mali.

African Journal of Paediatric Surgery : AJPS
|June 3, 2016
PubMed

Insights

Intestinal volvulus rarely occurs with mesenteric lymphangioma in children. Early diagnosis of intra-abdominal lymphangioma is crucial to prevent complications like volvulus, especially after trauma.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Mesenteric lymphangioma (CL) is a rare benign tumor of lymphatic vessels.
  • Intestinal volvulus is a surgical emergency characterized by twisting of the intestine.
  • The co-occurrence of CL and intestinal volvulus in pediatric patients is exceptionally uncommon.

Observation:

  • A 7-year-old girl presented with symptoms suggestive of intestinal obstruction following abdominal trauma.
  • Diagnostic workup revealed an intra-abdominal mass consistent with CL.
  • The patient experienced an episode of intestinal volvulus secondary to the CL.

Findings:

  • Surgical exploration confirmed intestinal volvulus caused by mesenteric cysticum lymphangioma.
  • Histopathological examination verified the diagnosis of CL.
  • The patient underwent successful resection of the affected bowel segment and anastomosis.

Implications:

  • This case highlights the potential for mesenteric lymphangioma to cause intestinal volvulus in children, even after trauma.
  • Prompt diagnosis and surgical intervention are vital for managing this rare pediatric surgical emergency.
  • Awareness of CL as a potential cause of intestinal obstruction and volvulus can improve patient outcomes.

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