Cauley, ChristySpencer, PhilipSagar, PallaviGoldstein, Allan2014-03-102013Cauley, 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/rjt083.2042-8812http://nrs.harvard.edu/urn-3:HUL.InstRepos:11878915Abdominal 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.en-USJournal Article2014-03-1010.1093/jscr/rjt083