Mesenteric lymphangioma
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Transcript of Mesenteric lymphangioma
Imaging Department
June 26th, 2012 Reported by Dr. Giang
Name: Chu Xuan Hiep Sex: Male Age: 4 years old. Dept: A5
Clinical
Abdominal pain Mild fever Vomiting Palpable abdominal mass.
MRI Findings(T2WI, Axial, Pre C+)
Well-define large cystic mass distend from Right upper quadrant abdomen to the pelvic (12,5 x5,8 cm)
Hyperintense signal (homogenous)
MRI Findings(T2 FS, Coronal, Pre C+)
Hyperintense Compress & displace Bowel loops to
the Left Hypointense structure pass throw
the Cyst.
MRI Findings(T1W, Axial, Pre C+)
Hypointense signal = water signal
MRI Findings(T1W, Coronal, Post C+)
Multiseptations intracyst: thin & mild enhance post C+
Structrure pass throw the cyst: enhance like bowel.
MRI Findings(T1W, Axial, Post C+)
Multiseptations intracyst: thin & mild enhance post C+
US Findings
Large cystic mass with multi- thin septations (> 12,5 cm)
Hypogenic, fluid filled cyst. Bowel loop pass throw the cyst.
Diagnosis
Mesenteric Cystic Lymphangioma
Background1. Definition:
Mesenteric Cystic Lymphangioma: A cystic mass arising in the mesentery or omentum, not from an abdominopelvic organs
2. Location: Occur anywhere in the mesentery or omentum
3. Size: Few mm to 40 cm in diameter
4. Age: Children and young adults; 33% < 15 years of age
5. Epidemiology: Rare 1/140,000 in general admission, 1/20,000 in pediatric admission
Background6. Complication: Intestinal obstruction, volvulus,
hemorrhage, rupture, infection, sepsis, cystic torsion and obstruction of the urinary and biliary tract
7. Treatment: Enucleation of cyst ± bowel resection
8. Prognosis: Good after surgery, 0-13.6% recurrence rate
Thank you for attention!