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Mesenteric lymphangioma causing bowel obstruction in a child

S Troum1, M M Solis

  • 1Department of Surgery, Mercer University School of Medicine, Medical Center of Central Georgia, Macon 31208, USA.

Southern Medical Journal
|August 1, 1996
PubMed
Summary

Mesenteric lymphangioma, a rare condition, can cause bowel obstruction in children, even those with cerebral palsy. Early consideration is vital for timely diagnosis and treatment.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Diagnostics

Background:

  • Mesenteric lymphangioma is a rare congenital anomaly of the lymphatic system.
  • Bowel obstruction in children necessitates prompt diagnosis and management.
  • Cerebral palsy can present complex diagnostic challenges in pediatric patients.

Observation:

  • A case of mesenteric lymphangioma presenting as bowel obstruction in a child with cerebral palsy is described.
  • The diagnosis was established intraoperatively during laparotomy.
  • The patient had no other identifiable abdominal pathologies.

Findings:

  • Mesenteric lymphangioma can manifest as a critical cause of bowel obstruction in pediatric cases.
  • Diagnostic confirmation often requires surgical exploration.

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  • The rarity of the condition may delay recognition.

    • Implications:

    • Clinicians should consider mesenteric lymphangioma in the differential diagnosis of pediatric bowel obstruction, particularly when other causes are absent.
    • Increased awareness may lead to earlier detection and improved patient outcomes.
    • This case highlights the importance of thorough investigation in complex pediatric surgical presentations.