Mesenteric cystic lymphangioma mimicking malignancy

Hureibi, Khalid; Sunidar, Osama A

doi:10.1136/bcr-2014-203560

Cited by 13 publications

(7 citation statements)

References 7 publications

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“…A previous report stated that delayed diagnosis of HD reduces postoperative HAEC development, and that a younger age and a low body weight at the time of radical surgery are the risk factors for postoperative HAEC [3]. It is assumed that in younger patients, intestinal immunity and peristalsis are immature; these patients develop HAEC easily and the early diagnosis date is indicative of severe HAEC [21,22]. However, in our study, postoperative HAEC was less likely to occur in patients who underwent earlier radical surgery.…”

Section: Discussionmentioning

confidence: 99%

Predictive factors for the development of postoperative Hirschsprung-associated enterocolitis in children operated during infancy

2020

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Purpose The risk factors for postoperative Hirschsprung-associated enterocolitis (HAEC) are still incompletely understood, especially age at which surgery is performed. Therefore, the aim of this study was to identify the risk factors for the development of postoperative HAEC in children operated during infancy. Methods Thirty-five children who had undergone radical surgery for Hirschsprung disease (HD) during infancy were included in the study. They were divided into two groups; those who developed postoperative HAEC (HAEC, 14 patients) and those who did not (no HAEC, 21 patients). Their medical records were retrospectively reviewed for clinical details. Results Developing postoperative HAEC was significantly associated with long-segment HD (p = 0.020) and the age at radical surgery (p = 0.0241). No other factors had a significant association with postoperative HAEC. In the patients who developed postoperative HAEC (n = 14), those with Trisomy 21 had significantly longer hospitalizations than those without. Patients with long-segment HD had a higher hospitalization rate than those with short-segment HD. Conclusion This study clearly showed that long-segment HD and older age at radical surgery are risk factors for developing postoperative HAEC.

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Section: Discussionmentioning

confidence: 99%

Predictive factors for the development of postoperative Hirschsprung-associated enterocolitis in children operated during infancy

2020

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“…The milky appearance of chylous fluid is due to abundant content of fat; variation in the appearance of the content of fluid is probably due to difference in degrees of lymph stasis and a variation in the number of communicating channels within the lymphatic system [ 6 ]. The size of the cyst and the patient's age can influence the symptoms of the patient [ 1 , 4 ]. The likely cause of acute presentation, in this case, was due to compression of the adjacent structures.…”

Section: Discussionmentioning

confidence: 99%

“…The limited awareness of its existence is one of the reasons that it still remains an elusive diagnosis with most cases being diagnosed incidentally. Herein, we have utilised this case to describe how the usage of a multi-modality approach involving ultrasound (US), computed tomography (CT) and magnetic resonance imaging (MRI) is highly effective in suspecting and confirming the diagnosis, and why MRI, if possible, must be carried out in all such cases [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Painful Abdominal Lump in the Pediatric Age Group: A Diagnostic Dilemma

Ajmera¹,

Jadhav²

2021

Cureus

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Any cystic lesion occurring in the mesentery which may or may not extend into the retroperitoneum is referred to as a mesenteric cyst; they have an infrequent incidence rate in the pediatric age group. Definitive etiology of the cystic lymphatic malformations is still not known but there are multiple hypotheses. A young male child presented with acute onset abdominal pain and palpable intra-abdominal mass and ultrasonography revealed presence of two lesions, one of them as an encysted turbid fluid collection in the right lumbar region and the other as a dilated, tortuous, intercalated structure. On CT, the first one was identified definitively as a mesenteric cyst while the other as a possible neoplastic mass in close proximity to the first one. Histopathology confirmed the diagnosis as a cystic lymphatic malformation of the mesenteric cyst. The limited awareness of its existence along with its usually asymptomatic nature, are the likely reasons that it still remains an elusive diagnosis. Based on our case we discuss, the use of a multi-modality approach towards diagnosing cystic malformation disorders and how the use of MRI is under-utilised when it could prove decisive.

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“…A mesenteric cyst originating in the sigmoid mesocolon is a rare finding with only 4 cases reported to date. [5] Histologically, mesenteric cysts are heterogeneous, being described as lymphangiomas, [6] chyloid cysts, [7] teratomas, of even urogenital cysts. [8] Most present as giant cysts without evidence of malignancy.…”

Section: Introductionmentioning

confidence: 99%

Novel diagnosis of mesenteric endometrioma

et al. 2019

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Rationale: Mesenteric cysts are benign gastrointestinal cystic lesions, with an incidence of <1/100 000. They usually develop in the small bowel mesentery, mesocolon (24%), retroperitoneum (14.5%), and very rarely originate from the sigmoid mesentery. Endometriomas represent a localized type of endometriosis and are usually within the ovary. Our case is unique because there are no reports in the literature of endometrial mesenteric cysts. Patient concerns: We present a case of a 29-year-old woman who underwent a routine gynecologic control. Diagnosis: Clinical examination and imaging identified 2 endometriomas on the left and posterior to the uterus. Interventions: The patient underwent exploratory laparoscopy. Unexpectedly, a 10 cm mesenteric cyst was identified; this was associated with adhesions in the left adnexal area and a left ovarian endometrioma. The classic surgical approach which was necessary identified the mesenteric cyst with cranial mesosigmoid and ileal adhesions, as well as distal adhesions which included the uterus, ileum, left ovarian endometrioma, left hydrosalpinx, left ureter, and rectum. The cyst was removed completely and a left adnexectomy was performed because of the presence of the endometrioma and adhesions. Outcomes: The patient's outcome was favorable, with discharge at 72 hours after surgery. The histopathological report revealed that both the mesenteric and ovarian cysts were endometriomas. Lessons: Our case is unusual in that a mesenteric cyst was identified in a patient with no clinical symptoms. Furthermore, the histopathological examination revealed the endometriotic origin of the mesenteric cyst which has not previously been reported in the literature.

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Mesenteric cystic lymphangioma mimicking malignancy

Cited by 13 publications

References 7 publications

Predictive factors for the development of postoperative Hirschsprung-associated enterocolitis in children operated during infancy

Predictive factors for the development of postoperative Hirschsprung-associated enterocolitis in children operated during infancy

Painful Abdominal Lump in the Pediatric Age Group: A Diagnostic Dilemma

Novel diagnosis of mesenteric endometrioma

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