Mesentric lymphatic malformation presented with a small bowel internal hernia: A case report
Ali Rajeh1, Fahd Al Sufiani2, Hanan Khormi2
1Department of Medical Imaging, Prince Mohammed Bin Abdul Aziz Hospital (PMBAH), Ministry of National Guard - Health Affairs, Madinah, Saudi Arabia.
Radiology Case Reports
|November 7, 2022
Summary
A rare case of mesenteric lymphatic malformation (LM) in a child caused a small bowel obstruction and internal hernia. Surgical intervention was necessary for this emergent condition.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Vascular Anomalies
Background:
- Mesenteric lymphatic malformations (LMs) are rare congenital vascular anomalies.
- Small bowel obstruction is a potential complication of mesenteric LMs.
Observation:
- A 2-year-old boy presented with symptoms initially mimicking simple ascites.
- The mesenteric lesion, though atypical for LM, exerted significant mass effect.
Findings:
- The case presented as a rare instance of small bowel internal hernia secondary to mesenteric LM.
- Surgical management was required due to the emergent nature of the internal hernia.
Implications:
- Highlights the importance of considering LMs in pediatric bowel obstruction, even with atypical presentations.
- Underscores the potential for LMs to cause rare complications like internal hernias.
- Emphasizes the critical role of prompt surgical intervention in emergent pediatric gastrointestinal conditions.
