Battulga Purevdorj
Mongolian National University of Medical Sciences, Mongolia
Title: Case report: mesenteric lymphangioma
Biography
Biography: Battulga Purevdorj
Abstract
Introduction:
Mesenteric lymphangioma is defined as a cystic lesion located between the leaflets of the mesentery from the duodenum to the rectum, being most commonly found in ileum level. The etiology is unclear. The preoperative diagnosis is often difficult to investigate, because the clinical manifestations are variable mostly it has silent clinical course. Lymphangiomas are benign tumors, probably congenital, are more common in the cervical and axillary regions. They are unusual in abdominal and pancreas location.
Its incidence is estimated at around 1:100,000 and 1:20,000 admissions in adults and in children. Despite the long recognition of this disease, its origin classification and pathology remain controversial. The highest incidence is between the third and fourth decades of life, with 75% of those diagnosed after ten years with a slight female predominance. Lymphangiomas are a major group of so-called vascular hamartomas, which result from a failure in the evolutionary development of the vascular system, including lymphatic and or arteries and veins. Diagnosis is made by biopsy of suspicious nodules, other imaging techniques such as CT, MRI, and ultrasound. The complete surgical excision is the ideal treatment for mesenteric lymphangionma. We report our experience with a rare case of mesenteric lymphangioma in a middle-aged male.
Case report:
A 43-years old man was admitted to our institution with left upper quadrant pain from two months.He presented with a good general condition, acyanosis and was afebrile, hydrated, normotensive BP 110/80 mmHg, HR - 96 beats/per min arrhythmic with symmetrical heart sound without murmur. SpO2 was 96%, both lungs with alveolar sounds, and there was no peripheral edema. His abdomen had painfulness to superficial and deep palpation. Chest X-ray showed no abnormality, lung field was clear and sinuses sharp. Computed tomography of the abdomen revealed a +2-(-8) HU hypodense mass of cystic aspect measuring 6.9x4.0x13.4 cm without contrast. Histopathologic examination confirmed a mesenteric cyst/lymphangioma. The patient was discharged without intercurrences.