Cystic mesenteric lymphangioma: A case report

Int J Surg Case Rep. 2019:61:318-321. doi: 10.1016/j.ijscr.2019.07.051. Epub 2019 Jul 25.

Abstract

Introduction: Cystic lymphangioma is a benign malformative tumor. The abdominal localization is rare. The diagnosis is not easy in preoperative period. The surgery is the choice in the abdominal and symptomatic localization.

Presentation of case: We report a 26 years old women. She consulted with left hypochondrial pain. The exam found left hyphochondrial swelling with 10 cm of diameter. The biologic screeming was normal. The ultrasound showed a multiloculated cyst which measured 130*80 mm. the CT scan showed a mesenteri cyst mass measured 15 cm. A fine needle aspiration cytology guided by abdominal ultrasound was realized and the cytology doesn't show malignant cell. A median laparotomy found a mesenteric cystic mass measured 15 cm of diameter. A resection was realized. The histologic exam membranous fibrosis cyst limited by an endothelium.

Conclusion: Mesenteric localization of cyst lymphagioma is rare. The surgery is safe and efficiency for the treatment.

Keywords: Cyst lymphagioma; Mesentery; Rare.