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DOI: 10.1055/s-0041-1727581
Mesenteric Lymphatic Malformation Causing Midgut Volvulus in an Adult: An Unusual Presentation
Funding None.
Abstract
Mesentery is an uncommon location for occurrence of lymphatic malformations. Lymphatic malformations causing midgut volvulus are described in pediatric population; however, it is a rare presentation in adults. We present case of 20-year-old man with a large mesenteric lymphatic malformation who presented with acute abdominal complaints. On radiological work up, the lymphatic malformation was seen causing midgut volvulus and closed loop small bowel obstruction with the presence of classical whirlpool sign. The patient underwent emergency surgery and the lymphatic malformation was completely excised along with resection of a segment of small bowel loop.
Publication History
Article published online:
26 April 2021
© 2021. Indian Society of Gastrointestinal and Abdominal Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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References
- 1 Huang JC, Shin JS, Huang YT. et al Small bowel volvulus among adults. J Gastroenterol Hepatol 2005; 20 (12) 1906-1912
- 2 Namasivayam J, Ziervogel MA, Hollman AS. Case report: volvulus of a mesenteric cyst—an unusual complication diagnosed by CT. Clin Radiol 1992; 46 (03) 211-212
- 3 Roisman I, Manny J, Fields S, Shiloni E. Intra-abdominal lymphangioma. Br J Surg 1989; 76 (05) 485-489
- 4 Siegel MJ, Glazer HS, St Amour TE, Rosenthal DD. Lympha-ngiomas in children: MR imaging. Radiology 1989; 170 (02) 467-470
- 5 Jang JH, Lee SL, Ku YM, An CH, Chang ED. Small bowel volvulus induced by mesenteric lymphangioma in an adult: a case report. Korean J Radiol 2009; 10 (03) 319-322
- 6 Chen CW, Hsu SD, Lin CH, Cheng MF, Yu JC. Cystic lymphangioma of the jejunal mesentery in an adult: a case report. World J Gastroenterol 2005; 11 (32) 5084-5086
- 7 Lugo-Olivieri CH, Taylor GA. CT differentiation of large abdominal lymphangioma from ascites. Pediatr Radiol 1993; 23 (02) 129-130
- 8 Chin S, Kikuyama S, Hashimoto T, Tomita T, Hasegawa T, Ohno Y. Lymphangioma of the jejunal mesentery in an adult: a case report and a review of the Japanese literature. Keio J Med 1993; 42 (01) 41-43
- 9 Ros PR, Olmsted WW, Moser Jr RP, Dachman AH, Hjermstad BH, Sobin LH. Mesenteric and omental cysts: histologic classification with imaging correlation. Radiology 1987; 164 (02) 327-332
- 10 Mar CR, Pushpanathan C, Price D, Cramer B. Best cases from the AFIP: omental lymphangioma with small-bowel volvulus. Radiographics 2003; 23 (04) 847-851
- 11 Lilia BH, Rym K, Ali G. et al Abdominal cystic lymphangioma complicated by mesenteric volvulus: a case report. Tunis Med 2014; 92 (05) 356-358
- 12 Yoon HK, Han BK. Chronic midgut volvulus with mesenteric lymphangioma: a case report. Pediatr Radiol 1998; 28 (08) 611
- 13 Traubici J, Daneman A, Wales P, Gibbs D, Fecteau A, Kim P. Mesenteric lymphatic malformation associated with small-bowel volvulus—two cases and a review of the literature. Pediatr Radiol 2002; 32 (05) 362-365
- 14 Davidson AJ, Hartman DS. Lymphangioma of the retroperitoneum: CT and sonographic characteristic. Radiology 1990; 175 (02) 507-510