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A 61-year-old woman with jejunal lymphatic malformation visualized on computed tomography: a case report
Mark Rupasinghe1, Roozbeh Houshyar2, Chantal Chahine1
1Department of Radiological Sciences, University of California Irvine, 101 The City Drive South, Route 140, Orange, CA, 92868, USA.
Background:
Jejunal lymphatic malformations are congenital lesions that are seldom diagnosed in adults and rarely seen on imaging.
Case Presentation:
A 61-year-old Caucasian woman was initially diagnosed and treated for mucinous ovarian carcinoma. After an exploratory laparotomy with left salpingo-oophorectomy, a computed tomography scan of the abdomen and pelvis demonstrated suspicious fluid-containing lesions involving a segment of jejunum and adjacent mesentery. Resection of the lesion during subsequent debulking surgery revealed that the lesion seen on imaging was a jejunal lymphatic malformation and not a cancerous implant.
Conclusions:
Abdominal lymphatic malformations are difficult to diagnose solely on imaging but should remain on the differential in adult cancer patients with persistent cystic abdominal lesions despite chemotherapy and must be differentiated from metastatic implants.
