Calcified cystic lymphangioma of the mesentery: case report.
Mesenteric cysts are rare and are associated with heterogeneous pathological conditions. We describe an extraordinary case of mesenteric calcified cystic lymphangioma in a 10-year-old boy. To the best of our knowledge only 6 mesenteric calcified cystic lymphangioma have been reported. The patient was admitted with abdominal pain and vomiting. Abdominal X-ray and computed tomography scan documented a calcified cyst which dislocated and compressed the ileum. Laparatomy revealed that the cyst arose in the mesentery at 100 cm from the ileocecal valve. The cystic wall was composed of fibrosclerotic calcified tissue and had an endothelial lining. In the adjacent fibrofatty stroma there were distended hemolymphatics. Postoperative recovery was uneventful. At follow-up 6 months after surgery the patient is well. Calcified cystic lymphangioma of the mesentery should be considered in the differential diagnosis of an intra-abdominal calcified cyst in children.
Department of Human Pathology and Oncology, Careggi Hospital, University of Florence, Florence, Italy. ambuccoliero@unifi.it
Anna Maria
AM
Buccoliero
Francesca
F
Castiglione
Vincenza
V
Maio
Caterina
C
Morelli
Alessandra
A
Martin
Antonio
A
Messineo
Gian Luigi
GL
Taddei
D002114:Calcinosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D002648:Child; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D018191:Lymphangioma, Cystic / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008639:Mesenteric Cyst / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D008643:Mesentery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D010534:Peritoneal Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014965:X-Rays