Mesenteric lymphangioma causing bowel obstruction: Report of one case

Shih Chang Chang, Shih Hsin Tu, Min Yen Shi, Shih Hung Huang, Kai Mo Chen

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

A 6-year-old female was sent to our ER due to nausea, vomiting and abdominal distension for 2 days. This child had a history of constipation and failed intermittent medical treatment for 2 years. Her plain abdominal X-ray showed multiple intestinal loops and under the impression of acute abdomen with mechanical intestinal obstruction, an exploratory laparotomy was performed. A huge mesenteric tumor was discovered to be the cause of the intestinal obstruction; the involved bowel and the mesenteric lymphangioma were resected and primary anastomosis was done. Mesenteric cystic lymphangioma is a rare cause of bowel obstruction; preoperative diagnosis is difficult due to silent clinical course and lack of awareness of the clinical and morphological features of this disease. The case is presented along with a review of literature with the conclusion that a high index of suspicion is recommended. An abdominal ultrasonography may be recommended to evaluate a long-term constipated child to ascertain that any cystic lesion will not be missed.

Original languageEnglish
Pages (from-to)43-45
Number of pages3
JournalActa Paediatrica Taiwanica
Volume43
Issue number1
Publication statusPublished - 2002
Externally publishedYes

Keywords

  • Abdominal ultrasonography
  • Bowel obstruction
  • Mesenteric cyst
  • Mesenteric lymphangioma

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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  • Cite this

    Chang, S. C., Tu, S. H., Shi, M. Y., Huang, S. H., & Chen, K. M. (2002). Mesenteric lymphangioma causing bowel obstruction: Report of one case. Acta Paediatrica Taiwanica, 43(1), 43-45.