Jejunal lymphangioma presenting as an ovarian mass.
Intra-abdominal lymphangiomas are rare benign tumours that usually arise in the mesentery of the small bowel. We present the case of an intra-abdominal lymphangioma that involved both the jejunum and its adjacent mesentery that ultrasound and CT scanning suggested was an ovarian tumour. Laparoscopy confirmed normal ovaries and a jejunal mass which was resected at laparotomy. This circumstance has very rarely been described in the literature and represents a diagnostic dilemma of which clinicians should be aware. Intra-abdominal lymphangioma should be included with other non-gynaecological diseases in the differential diagnosis of a pelvic mass, and requires a multi-specialty approach.
Norris
J R
JR
16 Close Medical Support Regiment (CMSR), now StR in Surgery, Nottingham City Hospital. rory.norris@yahoo.co.uk
Stacey
M
M
Rampaul
R S
RS
Cheung
K L
KL
D015746:Abdominal Pain; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007580:Jejunal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D010535:Laparoscopy; D008202:Lymphangioma / Q000175:diagnosis* / Q000601:surgery; D008643:Mesentery; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000601:surgery; D010534:Peritoneal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D055815:Young Adult