title: The Multi-Detector CT findings of giant abdominal lymphangiectasis mimicking a mesenteric cystic mass in a patient with midgut volvulus.
abstract: Our purpose is to show the Multi-Detector CT (MDCT) findings of an intra-abdominal giant cystic lesion with midgut volvulus and to share our experience with giant lymphangiectasis mimicking a mesenteric cyst or a cystic mass. The pathological evaluation indicated that the cyst contained abdominal lymphatic material. Malrotation is usually detected in infants and children, but rarely in adults. In patients with chronic and recurrent volvulus, chronic venous congestion with lymphatic engorgement may occur. Interference with lymphatic drainage may result in formation of a lymphangioma or a chylous mesenteric cyst. In our case, because of the intestinal lymphatic torsion, there was a cystic lesion mimicking a mesenteric cyst or a cystic mass. To our knowledge, this is the first case of midgut volvulus and large mesenteric lymphangiectasis to be depicted by MDCT.
authors.affiliation: Department of Radiology, Medical Faculty, Atatürk University, Erzurum, Turkey.
authors.forename: Mecit
authors.initials: M
authors.lastname: Kantarci
authors.affiliation: Department of Radiology, Develi Government Hospital, Kayseri, Turkey.
authors.forename: Selim
authors.initials: S
authors.lastname: Doganay
authors.affiliation: Department of Radiology, Medical Faculty, Atatürk University, Erzurum, Turkey.
authors.forename: Serpil
authors.initials: S
authors.lastname: Kurtcan
authors.affiliation: Department of Pathology, Medical Faculty, Atatürk University, Erzurum, Turkey.
authors.forename: Cemal
authors.initials: C
authors.lastname: Gundogdu
authors.affiliation: Department of Pediatric Surgery, Numune Hospital, Erzurum, Turkey.
authors.forename: Akgun
authors.initials: A
authors.lastname: Oral
authors.affiliation: Department of Radiology, Medical Faculty, Atatürk University, Erzurum, Turkey.
authors.forename: Berrin
authors.initials: B
authors.lastname: Demir
keywords: Intestinal lymphangiectasis; MDCT; Midgut volvulus