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Cystic mesenteric lymphangioma: A case report.

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  • 1General Surgery Department at Dalal Jamm Hospital, Dakar, Senegal.

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Cystic lymphangioma, a rare benign tumor, can present as a difficult-to-diagnose abdominal mass. Surgical resection is a safe and effective treatment for symptomatic mesenteric cystic lymphangioma.

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Area of Science:

  • Abdominal Surgery
  • Oncology
  • Gastroenterology

Background:

  • Cystic lymphangioma is a rare benign tumor.
  • Abdominal localization is uncommon and diagnosis can be challenging preoperatively.
  • Surgical intervention is indicated for symptomatic abdominal or mesenteric localizations.

Purpose of the Study:

  • To present a case of a rare mesenteric cystic lymphangioma.
  • To highlight diagnostic challenges and successful surgical management.

Main Methods:

  • A 26-year-old female presented with left hypochondrial pain and swelling.
  • Imaging (ultrasound, CT scan) revealed a large mesenteric cyst.
  • Fine needle aspiration cytology was non-diagnostic for malignancy.
  • Surgical resection via laparotomy was performed.

Main Results:

  • A 15 cm mesenteric cystic mass was surgically resected.
  • Histological examination confirmed a cystic lymphangioma.
  • The patient's symptoms resolved post-operatively.

Conclusions:

  • Mesenteric cystic lymphangioma is a rare entity.
  • Surgical resection is a safe and effective treatment for this condition.
  • Early diagnosis and surgical management are crucial for favorable outcomes.