title: [Hemoperitoneum caused by traumatic rupture of mesenteric lymphangioma cyst. Case report from Madagascar].
abstract: Mesenteric cystic lymphangioma is an uncommon benign tumor. The purpose of this report is to present a case involving a 7-year-old girl who presented hemoperitoneum due to traumatic rupture of a mesenteric lymphangioma cyst. The patient who had a huge preexisting tumor mass presented with hemorrhagic shock symptoms following a severe fall. Peritoneum puncture lavage confirmed hemoperitoneum. Exploratory laparotomy revealed a large bleeding cyst-like mesenteric tumor. Total extirpation was difficult but successful. Histological examination of the surgical specimen demonstrated mesenteric lymphangioma. In developing countries like Madagascar, rupture of parasitic splenic cysts is the most frequent underlying etiology in children presenting hemorrhagic syndrome after falls. This case shows that mesenteric cystic lymphangioma rupture can be a rare cause.
authors.affiliation: Service de Chirurgie Urologique B, CHU HJRA Ampefiloha, Madagascar. drauberlin@yahoo.fr
authors.forename: A F
authors.initials: AF
authors.lastname: Rakototiana
authors.forename: H N
authors.initials: HN
authors.lastname: Rakoto-Ratsimba
authors.forename: A J C
authors.initials: AJ
authors.lastname: Rakotoarisoa
authors.forename: F A
authors.initials: FA
authors.lastname: Hunald
authors.forename: Y
authors.initials: Y
authors.lastname: Breda
mesh_terms: D000058:Accidental Falls; D002648:Child; D005260:Female; D006465:Hemoperitoneum / Q000209:etiology*; D006801:Humans; D018191:Lymphangioma, Cystic / Q000150:complications*; D010534:Peritoneal Neoplasms / Q000150:complications*; D012421:Rupture