A Case of Small Bowel Penetration due to Lymphangioma of Jejunal Mesenterium

Masakazu Hattori, Makoto Morita, Osamu Hosokawa, Kunishige Watanabe, Syouji Tsuda

Department of Surgery, Fukui Prefectural Hospital

We report a case of small bowel penetration due to lymphangioma of the jejunal mesenterium. The patient, a 1-month-old girl, was admitted with a complaint of vomiting and a palpable abdominal mass. Ultrasonography and computed tomography of the lower abdomen indicated an intraperitoneal cystic mass. The patient was diagnosed as having a mesenteric cyst, and surgery was performed. We found the tumor in the jejunal mesenterium and penetration of jejunum in the same region. The tumor was a multilocular cystic mass. Histopathological diagnosis revealed a cavernous lymphangioma. We considered the penetration of the jejunum probably to be due to the existence of subserosal lymphagioma. Lymphangioma of the small bowel is a relatively rare disease, and only 7 cases of lymphangioma of both the small bowel and its mesenterium have been reported in the Japanese literature. We discuss the clinical features of mesenteric lymphangioma.

Key words
mesenteric cyst, lymphangioma of jejunal mesenterium, jejunal penetration to mesenteric cyst

Reprint requests
Masakazu Hattori Department of Surgery, Fukui Prefectural Hospital
2-8-1 Yotsui, Fukui, 910 JAPAN

Accepted
April 13, 1994

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