ABDOMINAL MESENTERIC CYSTIC LYMPHANGIOMA, A CASE REPORT WITH REVISION OF LITERATURES.
Abstract
Abdominal mesenteric cystic lymphangioma is a rare congenital benign tumor, that can be misdiagnosed with others cystic intra-abdominal tumors. The etiology is thought to be related with the congenital malformation of lymphatics.
We presented a case of a 4 year old male child with a cystic lymphangioma, arising from lymphatics of small bowel in the mesentery and occupying nearly the entire abdominal cavity. Focal bulging of anterior abdominal wall was observed. Plain film and computed tomography confirmed the intrabdominal septated cystic tumor. Radical surgical treatment was done, according to international guide-lines. The cystic tumor, attached mesentery and 45 cm. in length of the engulfed small intestine were completely excised and then primary end to end anastomosis was done. Histological diagnosis was chylous cystic mesenteric lymphangioma. The patient had an uneventful post operative course and had no evidence of recent post operative complication. No early relapse was recorded.
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