Mesenteric Cystic Lymphangioma in Pediatric Patient: A Rare Intra-Abdominal Tumor Management in Rural Country Case Report

Authors

  • Perdhana Kusuma Department of Surgery, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia https://orcid.org/0000-0002-3954-0800
  • Muhammad David Perdana Putra Department of Surgery, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia https://orcid.org/0000-0001-6012-1160
  • Suwardi Suwardi Department of Surgery, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.6134

Keywords:

Mesenteric cystic lymphangioma, Surgery, Rural country

Abstract

Introduction: Mesenteric Cystic Lymphangioma (MCL) is a benign malformation of the lymphatic system. MCL seldomly occurs with a very rare incidence of around 1: 250,000. This neoplasm is more common in pediatric patients. Symptoms can appear with various clinical features ranging from asymptomatic abdominal mass to acute abdomen.

Case description: Here we report a patient with MCL: that presented with bilious vomiting, abdominal pain, and abdominal mass. The patient underwent explorative laparotomy, mass excision, and  jejunal resection.

Discussion: Although benign, MCL can cause other symptoms such as bleeding, torsion, or lymphangioma rupture. Therefore, MCL should be considered as one of the differential diagnoses in acute abdominal and abdominal mass cases in children.

Conclusion: In conclusion, although sometimes asymptomatic and found incidentally, the MCL should be resected because it has the potential to grow and invade vital organs and cause life-threatening complications.

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References

Alqahtani A, Nguyen LT, Flageole H, Shaw K, Laberge JM. 25 years’ experience with lymphangiomas in children. J Pediatr Surg. 1999;34(7):1164-8. https://doi.org/10.1016/s0022-3468(99)90590-0 PMid:10442614

Pithawa AK, Bansal AS, Kochar SP. Mesenteric cyst: A rare intraabdominal tumour. Med J Armed Forces India. 2014;70(1):79-82. https://doi.org/10.1016/j.mjafi.2012.06.010 PMid:24936122

Konen O, Rathaus V, Dlugy E, Freud E, Kessler A, Shapiro M, Horev G. Childhood abdominal cystic lymphangioma. Pediatr Radiol. 2002;32(2):88-94. https://doi.org/10.1007/s00247-001-0612-4 PMid:11819071

Bono D, Tomaselli F, Caponi R, Saracco R. Laparoscopic excision of a voluminous mesenteric cyst: Case report of a rare entity and review of literature. Int J Surg Case Rep. 2020;77(Suppl 1):S64-6. https://doi.org/10.1016/j.ijscr.2020.10.042 PMid:33172813

Mohanty SK, Bal RK, Maudar KK. Mesenteric cyst--an unusual presentation. J Pediatr Surg. 1998;33(5):792-3. https://doi.org/10.1016/s0022-3468(98)90224-x PMid:9607505

Saviano MS, Fundarò S, Gelmini R, Begossi G, Perrone S, Farinetti A, Criscuolo M. Mesenteric cystic neoformations: Report of two cases. Surg Today. 1999;29(2):174-7. https://doi.org/10.1007/bf02482245 PMid:10030745

Zamir D, Yuchtman M, Amar M, Shoemo U, Weiner P. Giant mesenteric cyst mimicking ascites. Harefuah. 1996;130(10):683-4, 727. PMid:8794659

Beahrs OH, Judd ES Jr., Dockerty MB. Chylous cysts of the abdomen. Surg Clin North Am. 1950;30(4):1081-96. https://doi.org/10.1016/s0039-6109(16)33090-0 PMid:15442870

Richard RR. Mesenteric and omental cysts. In: Grosfeld JL, O’Neill JA Jr., Coran AG, Fonkalsrud EW, editors. Pediatric Surgery. 6th ed. Philadelphia, PA: Mosby Elsevier; 2006. p. 1399-406.

Prakash A, Agrawal A, Gupta RK, Sanghvi B, Parelkar S. Early management of mesenteric cyst prevents catastrophes: A single centre analysis of 17 cases. Afr J Paediatr Surg. 2010;7(3):140-3. https://doi.org/10.4103/0189-6725.70411 PMid:20859015

Hassan M, Dobrilovic N, Korelitz J. Large gastric mesenteric cyst: Case report and literature review. Am Surg. 2005;71(7):571-3. https://doi.org/10.1177/000313480507100706 PMid:16089120

Kurtz RJ, Heimann TM, Holt J, Beck AR. Mesenteric and retroperitoneal cysts. Ann Surg. 1986;203(1):109-12. PMid:3942415

Steyaert H, Guitard J, Moscovici J, Juricic M, Vaysse P, Juskiewenski S. Abdominal cystic lymphangioma in children: Benign lesions that can have a proliferative course. J Pediatr Surg. 1996;31(5):677-80. https://doi.org/10.1016/s0022-3468(96)90673-9 PMid:8861480

Losanoff JE, Richman BW, El-Sherif A, Rider KD, Jones JW. Mesenteric cystic lymphangioma. J Am Coll Surg. 2003;196(4):598-603. https://doi.org/10.1016/s1072-7515(02)01755-6 PMid:12691938

Resta G, Tartarini D, Fabbri N, Bianchini E, Anania G. Laparoscopic resection of a jejunal mesenteric pseudocyst: Case report. G Chir. 2014;35(11-12):279-82. PMid:25644729

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Published

2021-06-01

How to Cite

1.
Kusuma P, Putra MDP, Suwardi S. Mesenteric Cystic Lymphangioma in Pediatric Patient: A Rare Intra-Abdominal Tumor Management in Rural Country Case Report. Open Access Maced J Med Sci [Internet]. 2021 Jun. 1 [cited 2021 Sep. 20];9(C):84-8. Available from: https://oamjms.eu/index.php/mjms/article/view/6134

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Case Report in Surgery

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