eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
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1/2011
vol. 6
 
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abstract:
Case report

Mesenteric cystic lymphangioma presenting as acute peritonitis

Jacek Hermann
,
Donata Jurczyszyn
,
Przemysław Majewski
,
Jacek Szmeja
,
Michał Drews

Przegląd Gastroenterologiczny 2011; 6 (1): 51–54
DOI: https://doi.org/10.5114/pg.2011.20108
Online publish date: 2011/03/03
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The authors present a 25-year-old female patient who underwent laparotomy for emergent indications due to acute peritonitis in the course of septic cystic transverse mesocolonic lymphangioma. Such a lesion can be classified as a benign neoplasm or as a congenital anomaly. These tumours are more prevalent in children, with a male preponderance. They are most commonly located within soft tissues of the neck. Peritoneal cavity involvement is less then 5%. Then, small bowel mesentery or mesocolon are the most frequently affected sites of the abdominal cavity. Chronic, partial intestinal obstruction is a major clinical manifestation of mesenteric lymphangioma. Acute abdomen presentation of the disease is uncommon and it can be caused by haemorrhage, perforation or torsion of a cyst or infection. The optimal treatment is radical excision of the lesion.
keywords:

lymphangioma, acute abdomen
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