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Giant mesenteric cystic lymphangioma of mesocolic origin in an asymptomatic adult patient


Kambakamba, P; Lesurtel, M; Breitenstein, S; Emmert, M Y; Wilhelm, M J; Clavien, P A (2012). Giant mesenteric cystic lymphangioma of mesocolic origin in an asymptomatic adult patient. Journal of Surgical Case Reports, (6):online.

Abstract

A 34-year-old patient was scheduled for valve replacement to treat a symptomatic mitral regurgitation. The preoperative work-up incidentally discovered an intra-abdominal cystic tumour extending from the epigastrium to the pelvic region on a computed tomography scan. The patient had no abdominal symptoms by the giant cyst from unkown origin. An open “en bloc” resection disclosed a large cyst in the mesocolon. Pathological examination, including immunohistochemistry, enabled the diagnosis of a mesenteric cystic lymphangioma. Long-term follow-up of 12 months shows no recurrence. Mesenteric cystic lymphangioma, which is extremely rare in adults, is a challenge to diagnose and needs complete resection to ensure dignity and to avoid recurrence.

Abstract

A 34-year-old patient was scheduled for valve replacement to treat a symptomatic mitral regurgitation. The preoperative work-up incidentally discovered an intra-abdominal cystic tumour extending from the epigastrium to the pelvic region on a computed tomography scan. The patient had no abdominal symptoms by the giant cyst from unkown origin. An open “en bloc” resection disclosed a large cyst in the mesocolon. Pathological examination, including immunohistochemistry, enabled the diagnosis of a mesenteric cystic lymphangioma. Long-term follow-up of 12 months shows no recurrence. Mesenteric cystic lymphangioma, which is extremely rare in adults, is a challenge to diagnose and needs complete resection to ensure dignity and to avoid recurrence.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiovascular Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2012
Deposited On:31 Jan 2013 13:06
Last Modified:17 Feb 2018 01:03
Publisher:JSCR Publishing
ISSN:2042-8812
OA Status:Gold
Free access at:Official URL. An embargo period may apply.
Official URL:http://jscr.co.uk/2012/06/colorectal-surgery/giant-mesenteric-cystic-lymphangioma-of-mesocolic-origin-in-an-asymptomatic-adult-patient/

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