Mesenteric Cystic Lymphangioma of Mesocolic Origin in a Three-Month-Old Infant: A Rare Differential Diagnosis of Abdominal Distension

Document Type: Case Report

Authors

1 Combined Military Hospital, Peshawar, Pakistan

2 Combined Military Hospital of Kharian, Kharian, Pakistan

Abstract

Cystic lymphangioma is a rare benign tumour occurring during childhood. This tumour, caused by lymphatic system malformations, commonly occurs in head and neck regions. Herein, we report the case of a three-month-old male infant, diagnosed with a large cystic mass in the abdominal cavity and groin. The infant presented with low-grade fever and significant abdominal distension. Abdominal CT scan (with a contrast agent) revealed a large cystic mass in the abdominal cavity. During surgery, the mass was found to originate from the mesentery and was inferiorly connected to the sigmoid colon. Also, a small cystic mass was detected in the left scrotal region. The mass was removed along with a portion of the sigmoid colon and the cyst in the groin. Later on, histopathological examination of the mass confirmed the diagnosis of mesenteric cystic lymphangioma.

Keywords


  1. Talukdar S, Alagaratnam S, Sinha A, Thorn CC, Elton C. Giant cystic lymphangioma in childhood: a rare differential for the acute abdomen. BMJ case reports. 2011; Jul 7 2011.
  2. Luo CC, Huang CS, Chao HC, Chu SM, Hsueh C. Intra-abdominal cystic lymphangiomas in infancy and childhood. Chang GungMed J. 2004; 27(7):509–14.
  3. Konen O, Rathaus V, Dlugy E, Freud E, Kesslera A, Shapiro M, et al. Childhood abdominal cystic lymphangioma. Pediatr Radiol. 2002; 32(2):88–94.
  4. Goh BK, Tan YM, Ong HS, Chui CH, Ooi LL, Chow PK, et al. Intra-abdominal and retroperitoneal lymphangiomas in pediatric and adult patients. World J Surg. 2005; 29(7):837–40.
  5. Merrot T, Chaumoitre K, Simeoni-Alias J, Alessandrini P, Guys JM, Panuel M. Abdominal cystic lymphangiomas in children. Clinical, diagnostic and therapeutic aspects: apropos of 21 cases. Ann Chir. 1999; 53(6):494–9.
  6. Rana A, Katzman PJ, Pegoli W, Qualia C.  An unusual cause of abdominal pain: duodenal cystic lymphangioma. Gastroenterol Hepatol. 2013; 9(3):192-5.
  7. Steyaert H, Guitard J, Moscovici J, Juricic M, Vaysse P, Juskiewenski S. Abdominal cystic lymphangioma in children: benign lesions that can have a proliferative course. J Pediatr Surg. 1996; 31(5):677–80.
  8. Guinier D, Denue PO, Mantion GA. Intra-abdominal cystic lymphangioma. Am J Surg. 2006; 191(5):706–7.
  9. Weeda VB, Booij KA, Aronson DC. Mesenteric cystic lymphangioma: A congenital and an acquired anomaly? Two cases and a review of the literature. J Pediatr Surg. 2008; 43(6):1206-8
10. Sham M, Kudrimoti J. Rare location of mesenteric cystic lymphangioma in an infant. J Clin Neonatol. 2014; 3(3):164-6.