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2019, Number 3-4

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Rev Sanid Milit Mex 2019; 73 (3-4)

Mesenteric lymphangiomatosis

Lever RC, Rebollo HV, Mora MI, Cerda RE

Language: Spanish
References: 13
Page: 249-253
PDF size: 284.76 Kb.


ABSTRACT

We present a clinical case of a 39-year-old man, with no significant chronic degenerative or hereditary history, who begins with a clinical course of gastrointestinal bleeding with hematological repercussions, with cabinet studies (panendoscopy-colonoscopy) without evidence of hemorrhage site so it was performed enterotomography with report of increased volume and density of the mesentery of ileum segment, hyperdense and irregular linear images that increase density without enhancement with «halo» sign, concentric thickening of segment 25cm ileum, with diminished light and mucosa sfaccelada to 40 cm proximal to the ileocecal valve, coarse calcifications in mesentery. Exploratory laparotomy was performed with resection of distal ileum plus right hemicolectomy plus entire side-to-side anastomosis. With histopathological report of mesenteric lymphangiomatosis. Mesenteric lymphangiomatosis is a rare entity with a good prognosis if complete surgical resection is performed.


REFERENCES

  1. Levy DA, Cantisania V. Miettinen. Abdominal lymphangiomas: imaging features with pathologic correlation. AJR. 2004; 182: 1485-1491.

  2. Lara C, Borrero J, Porras V, de la Rosa JA, Expósito F. Linfangiomatosis mesentérica. presentación de un caso. Arch Esp Urol. 2006; 59 (5): 542-544.

  3. Lugo-Olivieri CH, Taylor GA. CT differentiation of large abdominal lymphangioma from ascites. Pediatr Radiol. 1993; 23: 129-130.

  4. Wani I. Mesenteric lymphangioma in adult a case series with a review of the literature. Dig Dis Sci. 2009; 54: 2758-2762.

  5. Elhalaby E. Mesenteric and retroperitoneal cysts in children. Tanta Med J. 2001; 29: 51-61.

  6. Chin S, Kikuyama S, Hashimoto T, Tomita T, Hasegawa T et al. Lymphangioma of jejunal mesentery in an adult: a case report and the review of the Japanese literature. Keio J Med. 1993; 42: 41-43.

  7. Bansal H, Jenaw RK, Mandia R. Huge mesenteric lymphangioma- a rare cause of acute abdomen. Int J Health Res. 2010; 3: 195-198.

  8. Woo K, Jeong YK, Song Y, Heo JN, Park CK. Cavernous mesenteric lynphangiomas. Eur Radiol. 2006; 16: 1625-1628.

  9. Aprea G, Guida F, Canfora A, Ferronetti A, Giugliano A et al. Mesenteric cystic lymphangioma in adult: a case series and review of the literature. BMC Surgery. 2013; 13: A4.

  10. Turki AM. Abdominal cystic lymphangioma in adults: diagnostic difficulties and surgical outcome. J Univer Surg. 2016; 4: 5.

  11. Ezinger, Weiss’s. Tumors of lymph vessels. Soft tissue tumors. Chapter 26. Tumors of lymph vessels. Mosby, St Louis, 2001. pp. 955-968.

  12. Mabrut JY, Grandjean JP, Henry L, Chappuis JP, Partensky C et al. Mesenteric and mesocolic cystic lymphangiomas-Diagnostic and therapeutic management. Ann Chir. 2002; 127: 343-349.

  13. Tsukada H, Takaori K, Ishiguro S, Tsuda T, Ota S et al. Giant cystic lymphangioma of the small bowel mesentery: report of a case. Surg Today. 2002; 32: 734-737.




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