Giant mesenteric lymphatic malformation presenting as small bowel volvulus
Citation
Cauley, Christy E., Philip J. Spencer, Pallavi Sagar, and Allan M. Goldstein. 2013. “Giant mesenteric lymphatic malformation presenting as small bowel volvulus.” Journal of Surgical Case Reports 2013 (9): rjt083. doi:10.1093/jscr/rjt083. http://dx.doi.org/10.1093/jscr/rjt083.Abstract
Abdominal pain with bilious emesis is an ominous clinical presentation with many possible causes. We describe a previously healthy 4-year-old boy who presented with these symptoms and ultrasound findings of fluid throughout most of the abdominal cavity. Computed tomography imaging revealed a large cystic mass (21-by-13 cm) associated with a small bowel obstruction due to volvulus. A laparoscopic exploration was undertaken, revealing a large mass arising from the small intestinal mesentery and causing a segmental volvulus of the small bowel. Conversion to mini-laparotomy allowed reduction of the volvulus and segmental resection of the small bowel associated with a giant mesenteric lymphatic malformation. This case describes a rare cause of intestinal volvulus due to a mesenteric lymphatic malformation.Other Sources
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3813682/pdf/Terms of Use
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