Mesenteric cystic lymphangioma: a congenital and an acquired anomaly? Two cases and a review of the literature.
Mesenteric cystic lymphangioma is an uncommon benign abdominal mass. Two cases of mesenteric cystic lymphangioma are presented, both in combination with malrotation and intermittent volvulus. Both mesenteric cystic lymphangiomas were located near the duodenojejunal junction, the usual area of torsion in case of a volvulus. These findings suggest that mesenteric cystic lymphangioma could have evolved as a consequence of chronic intermittent volvulus. We hypothesize that in patients with malrotation and volvulus, mesenteric cystic lymphangioma may be regarded as an acquired anomaly.
Pediatric Surgical Center of Amsterdam, Emma Children's Hospital, Academic Medical Center, University of Amsterdam, 1100 DD Amsterdam, The Netherlands.
Viola B
VB
Weeda
Klaske A C
KA
Booij
Daniel C
DC
Aronson
D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D045822:Intestinal Volvulus / Q000000981:diagnostic imaging / Q000601:surgery*; D007813:Laparotomy / Q000379:methods; D018191:Lymphangioma, Cystic / Q000151:congenital / Q000473:pathology / Q000601:surgery*; D008297:Male; D008639:Mesenteric Cyst / Q000151:congenital / Q000473:pathology / Q000601:surgery*; D010534:Peritoneal Neoplasms / Q000473:pathology / Q000601:surgery*; D018570:Risk Assessment; D012720:Severity of Illness Index; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler